NPI | 1487990248 |
---|---|
Former Legal Business Name | DAKOTA STRETCH THERAPY |
Entity Type | Organization |
Authorized Contact | TIM WALD PT, D PT Owner 605-222-3773 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2012-12-26 |
Last Update Date | 2020-01-09 |