Individual
MERCADES M GENZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
920 4TH ST, GARRETSON, SD 57030-2006
(605) 594-3466
(605) 594-6661
Mailing address
307 S BROADWAY ST, GETTYSBURG, SD 57442-1505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0585
SD
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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