IAN THOMAS KOPRIVA

RAPID CITY, SD
NPI1396124178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SD  1845)
Enumeration Date2015-05-26
Last Update Date2015-05-26
Business Address
-- IAN THOMAS KOPRIVA P.T.
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-399-9565
Mailing Address
-- IAN THOMAS KOPRIVA P.T.
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-399-9565