MARISSA SHUPPERD

EAGLE, ID
NPI1245901354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2021-09-28
Last Update Date2024-01-26
Business Address
MARISSA SHUPPERD DPT
775 S RIVERSHORE LN STE 220
EAGLE, ID 83616-5783
Phone number: 208-435-8662
Mailing Address
MARISSA SHUPPERD DPT
775 S RIVERSHORE LN STE 220
EAGLE, ID 83616-5783
Phone number: 208-435-8662