Individual
ZECHARIAH STAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4201 S MINNESOTA AVE STE 2, SIOUX FALLS, SD 57105-6705
(605) 595-1434
Mailing address
201 IOWA ST, CENTERVILLE, SD 57014-2125
(605) 595-1434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
750MT10800
SD
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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