Bailee Shupp, PT

NPI #1144774191 in Bellevue, Nebraska

Provider Information

NPI Number: 1144774191
Entity Type: Individual
Name: Bailee Shupp, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 8, 2016
Last Updated: Aug 8, 2016

Practice Location

Address: 2206 LONGO DR
Address 2: SUITE 211
City: Bellevue
State: Nebraska
ZIP Code: 68005-2901
Phone: (218) 230-3393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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