Individual
MR. DEAN A SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2766 MACK RD, FAIRFIELD, OH 45014-5129
(513) 942-2500
(513) 942-7999
Mailing address
1368 KEYRIDGE DR, CINCINNATI, OH 45240-2221
(513) 680-8654
(513) 851-8654
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33.019427 S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33.019427 S
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
05/29/2012
Last updated
05/29/2012
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