| NPI | 1851650873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DAWN TIESZEN Vice President 605-660-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2026-07-08 |