Individual
JACLYN N IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6 N ROOSEVELT ST, ABERDEEN, SD 57401-3348
(605) 725-9900
(605) 725-9902
Mailing address
6 N ROOSEVELT ST, ABERDEEN, SD 57401-3348
(605) 725-9900
(605) 725-9902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1554
SD
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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