Performance Physical Therapy Prof

NPI #1568509289 in Spearfish, South Dakota

Provider Information

NPI Number
1568509289
Entity Type
Organization
Organization Name
Performance Physical Therapy Prof
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jan 31, 2007
Last Updated
Apr 6, 2011

Practice Location

Address
215 E JACKSON BLVD
Address 2
SUITE B
ZIP Code
57783-2176
Phone
(605) 722-6880

Authorized Official

Name
TAMMY J TJADEN, BS, ATC
Title
PRACTICE MANAGER
Phone
(605) 722-6880

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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