Prosper Physical Therapy PLLC
Clinic/Center, Physical Therapy in Tea, SD. Organization (NPI-2).
NPI number1265136014
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1265136014
- Entity type
- Organization (NPI-2)
- Legal business name
- Prosper Physical Therapy PLLC
- Organization subpart
- Yes
- Enumeration date
- Mar 27, 2023
- Certification date
- Mar 27, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Prosper Physical Therapy And Pelvic Rehab (Doing Business As)
Practice location
420 Quartzite AveTea, SD 57064-2669
Phone 605-940-1728
Mailing address
420 Quartzite AveTea, SD 57064-2669
Phone 605-940-1728
Authorized official
Sara A Panek
Physical Therapist
6059401728
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