Organization
TEAMWORK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM E WIEKING RPT (PROVIDER AND GENERAL PARNTER)
(605) 335-8326
Entity
Organization
Contact information
Practice address
5132 S CLIFF AVE # 4, SIOUX FALLS, SD 57108
(605) 335-8326
(605) 373-9971
Mailing address
5132 S CLIFF AVE, STE 4, SIOUX FALLS, SD 57108-5437
(605) 335-8326
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025088100
—
NE
Enumeration date
07/21/2006
Last updated
02/21/2008
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