MR. Wayne Lee Kudera

NPI #1952686016 in Tyndall, South Dakota

Provider Information

NPI Number: 1952686016
Entity Type: Individual
Name: MR. Wayne Lee Kudera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 19, 2011
Last Updated: Oct 19, 2011

Practice Location

Address: 410 W 16TH AVE
City: Tyndall
State: South Dakota
ZIP Code: 57066-2318
Phone: (605) 589-3341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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