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Individual

MATTHEW SAILORS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
7220 S HIGHWAY 16, RAPID CITY, SD 57702-8708
(605) 341-1414
(605) 341-7062
Mailing address
7220 S HIGHWAY 16, PO BOX 6850, RAPID CITY, SD 57702-8708
(605) 341-1414
(605) 341-7062

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0470
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1254560001
CIGNA MEDICARE
SD
05
5831782
SD
Enumeration date
01/25/2006
Last updated
12/20/2007
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