| NPI | 1598546954 |
|---|---|
| Former Legal Business Name | TAT NE SEGMENT THERAPY |
| Doing Business As | LUCKY MOUND THERAPY |
| Entity Type | Organization |
| Authorized Contact | SADIE JAYNE DALE Doctor Of Physical Therapy 701-333-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-09-24 |