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Organization
FOR LIFE HUMAN PERFORMANCE INC
Active
Organization
FOR LIFE HUMAN PERFORMANCE INC
Active
Other names
For Life Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB TESCH (PRESIDENT)
(605) 878-3334
Entity
Organization
Contact information
Practice address
913 10TH AVE SE, WATERTOWN, SD 57201-9600
(605) 878-3334
(605) 878-0245
Mailing address
913 10TH AVE SE, WATERTOWN, SD 57201-9600
(605) 878-3334
(605) 878-0245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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