# FRESH LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pierre Physical Therapy & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679191092
- **Authorized official:** JOHN ROUNDS PT,DPT (OWNER)
- **Authorized official phone:** (605) 222-8724

## Contact information

- **Practice address:** 633 E SIOUX AVE STE 5, PIERRE, SD 57501-3368
- **Practice address phone:** (605) 222-8724
- **Mailing address:** 633 E SIOUX AVE STE 5, PIERRE, SD 57501-3368
- **Mailing address phone:** (605) 222-8724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020