Individual
MARIA N NIKOLAS NEELY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
801 SUMMIT ST, YANKTON, SD 57078-3338
(605) 665-0058
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
661
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5834090
—
SD
Enumeration date
08/09/2005
Last updated
07/08/2007
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