Individual
SHANE STEPHEN MELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-5000
Mailing address
532 E CLEARWATER PL APT 329, SIOUX FALLS, SD 57108-1201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2650
SD
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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