Individual
SHANE MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, BSPTA
Contact information
Practice address
130 6TH ST, SCOTLAND, SD 57059-2111
(605) 789-8498
Mailing address
3463 310TH AVE, SAINT EDWARD, NE 68660-5236
(402) 669-2189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0631
SD
225200000X
Physical Therapy Assistant
1287
NE
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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