Individual
MR. NORMAN ANTHONY FASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
1301 W OMAHA ST, SUITE 115, RAPID CITY, SD 57701-2447
(605) 721-5950
(605) 721-5940
Mailing address
1301 W OMAHA ST, SUITE 115, RAPID CITY, SD 57701-2447
(605) 721-5950
(605) 721-5940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1137
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833362
—
SD
Enumeration date
11/08/2006
Last updated
07/08/2007
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