Stephen M Shupe, M.S., P.T., O.C.S.
NPI #1689789281 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1689789281
- Entity Type
- Individual
- Name
- Stephen M Shupe, M.S., P.T., O.C.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.S., P.T., O.C.S.
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Jul 6, 2010
Practice Location
- Address
- 2295 FOOTHILL DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84109-4000
- Phone
- (801) 486-7542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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