Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1107 | SD |
NPI | 1043406085 |
---|---|
Provider Name | Ms. Shannen Cathleen Lawrence Scheafer |
First Address | Sioux Falls, SD 57106-4914 |
Second Address | Sioux Falls, SD 57106-4914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 24/09/2007 |