Individual
MR. JEFFREY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1005 N MAIN ST, MITCHELL, SD 57301-1351
(605) 996-4552
(605) 996-0577
Mailing address
1005 N MAIN ST, MITCHELL, SD 57301-1351
(605) 996-4552
(605) 996-0577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0946
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833413
—
SD
Enumeration date
12/28/2007
Last updated
01/14/2008
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