Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Shupperd, DPT

Individual provider Physical Therapist · NPI 1245901354

Marissa Shupperd, DPT is a Physical Therapist in Eagle, Idaho. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

775 S Rivershore Ln Ste 220
Eagle, ID 83616-5783
Phone: (208) 435-8662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1245901354
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 28, 2021
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address775 S Rivershore Ln Ste 220, Eagle, ID 83616-5783

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