Organization
SOAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SCOTT DORMANN PT (PRESIDENT/PHYSICAL THERAPIST)
(605) 342-9575
Entity
Organization
Contact information
Practice address
2050 W MAIN ST, SUITE 4, RAPID CITY, SD 57702-0905
(605) 342-9575
(605) 342-9592
Mailing address
2050 W MAIN ST, SUITE 4, RAPID CITY, SD 57702-0905
(605) 342-9575
(605) 342-9592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5835130
—
SD
Enumeration date
08/19/2006
Last updated
08/01/2007
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