TIM J KUDLOCK

SPEARFISH, SD
NPI1720125438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SD  0542)
Enumeration Date2007-01-31
Last Update Date2007-07-09
Business Address
-- TIM J KUDLOCK PT
215 E JACKSON BLVD SUITE B
SPEARFISH, SD 57783-2176
Phone number: 605-722-6880
Mailing Address
-- TIM J KUDLOCK PT
215 E JACKSON BLVD SUITE B
SPEARFISH, SD 57783-2176
Phone number: 605-722-6880
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