Individual
MISS BRENDA MAE BUUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1222 22ND AVE S, BROOKINGS, SD 57006-0850
(605) 696-7222
(605) 692-6624
Mailing address
1222 22ND AVE S, BROOKINGS, SD 57006-0850
(605) 696-7222
(605) 692-6624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0912
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993010
BLUECROSS AND BLUESHIELD
SD
Enumeration date
06/26/2007
Last updated
12/03/2020
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