| NPI | 1366923401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM WALD Owner 605-222-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |