Search › South Dakota › Athletic Trainer
John Shape
NPI 1164060950 · on the registry since 2019
Practice
- Address
- 810 E 23rd St
Sioux Falls, SD 57105 - Phone
- (605) 977-6845
- Organisation at this address
- Manus, Llc
Avera Mckennan
Avera MckennanInferred from a shared address, not stated in the registry. - Clinicians at this address
- 119
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota