Physiolife 605 Pllc
NPI #1396433629 in Harrisburg, South Dakota
Provider Information
- NPI Number
- 1396433629
- Entity Type
- Organization
- Organization Name
- Physiolife 605 Pllc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Apr 25, 2023
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 220 S CLIFF AVE STE 102
- City
- Harrisburg
- State
- South Dakota
- ZIP Code
- 57032-2485
- Phone
- (605) 770-7331
Authorized Official
- Name
- TREVER WAGNER, PT, DPT, ATC
- Title
- OWNER
- Phone
- (605) 767-1601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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