Individual
KRISTA GLANZ MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
808 SUMMIT ST, BELLE FOURCHE, SD 57717-2220
(605) 892-6321
Mailing address
808 SUMMIT ST, BELLE FOURCHE, SD 57717-2220
(605) 892-6321
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
552
SD
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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