Individual
MRS. TAMMY SUE ELLWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4513 S PRINCE OF PEACE PL, SIOUX FALLS, SD 57103-5830
(605) 322-5665
(605) 322-5698
Mailing address
4513 S PRINCE OF PEACE PL, SIOUX FALLS, SD 57103-5830
(605) 322-5665
(605) 322-5698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013
SD
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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