Individual
KIERSTAN MARIE WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
2222 E PHILADELPHIA ST APT 6303, RAPID CITY, SD 57703-1748
(570) 367-0678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2413
SD
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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