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Individual

DAVID WAYNE SHUPE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2050 W MAIN ST, #4, RAPID CITY, SD 57702-0905
(605) 342-9575
(605) 342-9592
Mailing address
4728 CAPITOL ST, RAPID CITY, SD 57702-1867
(605) 721-7733
(605) 342-9592

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
135
SD
2251X0800X
Orthopedic Physical Therapist
Primary
135
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4998962
WELLMARK
SD
05
5830732
SD
Enumeration date
10/11/2005
Last updated
09/11/2025
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