# TEAMWORK PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1225059074
- **Authorized official:** KIM E WIEKING RPT (PROVIDER AND GENERAL PARNTER)
- **Authorized official phone:** (605) 335-8326

## Contact information

- **Practice address:** 5132 S CLIFF AVE \# 4, SIOUX FALLS, SD 57108
- **Practice address phone:** (605) 335-8326
- **Practice address fax:** (605) 373-9971
- **Mailing address:** 5132 S CLIFF AVE, STE 4, SIOUX FALLS, SD 57108-5437
- **Mailing address phone:** (605) 335-8326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 02/21/2008
