Individual
PAIGE KATHARINA SHUMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, ATC
Contact information
Practice address
375 ASH ST SE, WOLSEY, SD 57384-2238
(605) 354-1101
Mailing address
1421 S ROWLEY ST, MITCHELL, SD 57301-4361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0479
SD
225X00000X
Occupational Therapist
Primary
1049
SD
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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