Individual
MRS. AMY BONKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
904 QUINCY ST, RAPID CITY, SD 57701-2608
(605) 716-0646
Mailing address
904 QUINCY ST, RAPID CITY, SD 57701-2608
(605) 716-0646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT.0010652
CO
225700000X
Massage Therapist
Primary
MT12103
SD
Other
Enumeration date
03/22/2013
Last updated
12/09/2024
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