John Dylan Shape
John Dylan Shape is an Athletic Trainer in Sioux Falls, South Dakota. Licensed in South Dakota. Registered with an NPI since 2019.
- Licensed in
- SD
- In the registry since
- 2019
Practice location Address checks out
810 E 23rd StSioux Falls, SD 57105-2135
Phone: (605) 977-6845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 0601 (SD) |
|---|
Record details
| NPI number | 1164060950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | December 12, 2019 |
| Certification date | December 12, 2019 |
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