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Organization
ELEVATE PERFORMANCE
Active
Organization
ELEVATE PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHIANNA WICKETT DPT (CO-OWNER)
(605) 484-9019
Entity
Organization
Contact information
Practice address
420 E SAINT PATRICK ST STE 101, RAPID CITY, SD 57701-4200
(605) 484-9019
Mailing address
PO BOX 3404, RAPID CITY, SD 57709-3404
(605) 484-9019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
04/16/2020
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