# HOVDES PHYSICAL THERAPY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114382447
- **Authorized official:** SANDRA HOVDE (OWNER)
- **Authorized official phone:** (605) 532-4212

## Contact information

- **Practice address:** 312 1ST AVE W, CLARK, SD 57225
- **Practice address phone:** (605) 532-4212
- **Practice address fax:** (605) 532-1343
- **Mailing address:** 312 1ST AVE W, CLARK, SD 57225
- **Mailing address phone:** (605) 532-4212
- **Mailing address fax:** (605) 532-1343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015