Individual
SHAYNE MARC SPOKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-6735
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0643
ND
Other
Enumeration date
10/08/2014
Last updated
08/22/2022
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