KELLY WUESTEWALD

SIOUX FALLS, SD
NPI1346664521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SD  0376)
Enumeration Date2014-02-10
Last Update Date2014-02-10
Business Address
-- KELLY WUESTEWALD PTA
4401 W BRIGGS DR APT 68
SIOUX FALLS, SD 57107-6879
Phone number: 605-251-3730
Mailing Address
-- KELLY WUESTEWALD PTA
4401 W BRIGGS DR APT 68
SIOUX FALLS, SD 57107-6879
Phone number: 605-251-3730
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