Individual
AMANDA MARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
315 N WASHINGTON ST, VIBORG, SD 57070-0368
(605) 326-5161
Mailing address
28681 459TH AVE, DAVIS, SD 57021-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1202
SD
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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