Organization
HOVDES PHYSICAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA HOVDE PT (PHYSICAL THERAPIST OWNER)
(605) 532-4212
Entity
Organization
Contact information
Practice address
312 1ST AVE W, CLARK, SD 57225-1405
(605) 532-4212
(605) 532-1343
Mailing address
312 1ST AVE W, CLARK, SD 57225-1405
(605) 532-4212
(605) 532-1343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0799
SD
225100000X
Physical Therapist
1194
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110411
BERKLEY RISK ADMIN
SD
01
—
14479
AMERICAN FAMILY PROVIDER
SD
01
—
14518
SANDRA HOVDE FIRST CHOICE
SD
01
—
20729
SANDRA HOVDE SIOUX VALLEY
SD
01
—
21256
ANN LARSON SIOUX VALLEY
SD
01
—
22223
ANN LARSON FIRST CHOICE
SD
01
—
4997989
BCBS PROVIDER NUMBER
SD
05
—
5831183
—
SD
05
—
5833542
—
SD
01
—
7079
ANN LARSON AVERA
SD
Enumeration date
11/20/2006
Last updated
10/28/2009
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