Individual
CODI MARIE HUEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
614 EAST BLVD, RAPID CITY, SD 57701-2902
(605) 348-9530
(605) 737-0874
Mailing address
614 EAST BLVD, RAPID CITY, SD 57701-2902
(605) 348-9530
(605) 737-0874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2051
SD
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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