# DAKOTA MASSAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dakota Massage LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417600321
- **Authorized official:** THERESA RIIBE (MASSAGE THERAPIST)
- **Authorized official phone:** (605) 655-4477

## Contact information

- **Practice address:** 100 DOUGLAS AVE STE 102, YANKTON, SD 57078-4474
- **Practice address phone:** (605) 655-4477
- **Mailing address:** 100 DOUGLAS AVE STE 102, YANKTON, SD 57078-4474
- **Mailing address phone:** (605) 655-4477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 02/01/2022