For Life Human Performance INC

NPI #1578923975 in Watertown, South Dakota

Provider Information

NPI Number: 1578923975
Entity Type: Organization
Organization Name: For Life Human Performance INC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 26, 2016
Last Updated: Feb 26, 2016

Practice Location

Address: 913 10TH AVE SE
City: Watertown
State: South Dakota
ZIP Code: 57201-9600
Phone: (605) 878-3334

Authorized Official

Name: JACOB TESCH
Title: PRESIDENT
Phone: (605) 878-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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