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Organization
BADLANDS PHYSICAL THERAPY, LLC
Active
Organization
BADLANDS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM WALD (OWNER)
(605) 222-7336
Entity
Organization
Contact information
Practice address
910 MAIN ST, WALL, SD 57790
(605) 222-7336
Mailing address
505 KANSAS CITY ST STE 3, RAPID CITY, SD 57701-3673
(605) 222-7336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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