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Individual

SHANTEL NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
24276 166TH AIRPORT RD, EAGLE BUTTE, SD 57625
(605) 964-0662
Mailing address
25030 192ND ST, HAYES, SD 57537-4903
(605) 280-3014

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2138
SD

Other

Enumeration date
06/28/2019
Last updated
06/28/2019
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