| NPI | 1184238859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH KELLER Insurance/Billing Specialist 605-271-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |