Shupperd, Marissa
Shupperd, Marissa is an sole proprietor health care provider with primary practice located at 775 S Rivershore Ln Ste 220 , Eagle ID 83616-5783. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shupperd, Marissa can be contacted via phone (208) 435-8662.Contact Information
Primary practice address
775 S Rivershore Ln Ste 220
Eagle ID 83616-5783
Phone: (208) 435-8662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1245901354 |
|---|---|
| LBN Legal business name | Shupperd, Marissa |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2021 |
| Last updated | Jan 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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