Individual
BAILEE SHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2206 LONGO DR, SUITE 211, BELLEVUE, NE 68005-2901
(218) 230-3393
Mailing address
2206 LONGO DR, SUITE 211, BELLEVUE, NE 68005-2901
(218) 230-3393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3616
NE
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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