| NPI | 1972183564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE DIANNE THOMAS Physical Therapist 605-359-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-08-19 |