PAUL LYLE MCMAHON

RAPID CITY, SD
NPI1790494052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SD  0544)
Enumeration Date2022-11-15
Last Update Date2022-11-15
Business Address
PAUL LYLE MCMAHON PTA
1110 W OMAHA ST # 3
RAPID CITY, SD 57701-8097
Phone number: 605-721-5950
Mailing Address
PAUL LYLE MCMAHON PTA
440 E CUSTER ST
RAPID CITY, SD 57701-1014
Phone number: 515-320-5474