Individual
RALPH THOMAS WIEDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2065 CAMPBELL DR, HURON, SD 57350-3446
(402) 705-2399
Mailing address
2305 S CAPITAL ST APT 5, MITCHELL, SD 57301-4319
(402) 705-2399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT12086
SD
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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