# RESTORE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1427012335
- **Authorized official:** MR. CHAD L LAUSENG PT (OWNER/DIRECTOR)
- **Authorized official phone:** (605) 275-4125

## Contact information

- **Practice address:** 4925 E 26TH ST, SUITE B, SIOUX FALLS, SD 57110-6950
- **Practice address phone:** (605) 275-4125
- **Practice address fax:** (605) 332-6616
- **Mailing address:** 4925 E 26TH ST, SUITE B, SIOUX FALLS, SD 57110-6950
- **Mailing address phone:** (605) 275-4125
- **Mailing address fax:** (605) 332-6616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1178 | SD | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 08/22/2020