Organization
BETINA K BASSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETINA K BASSO PT (PT)
(605) 415-0033
Entity
Organization
Contact information
Practice address
13621 NECK YOKE RD, RAPID CITY, SD 57702-7324
(605) 415-0033
Mailing address
13621 NECK YOKE RD, RAPID CITY, SD 57702-7324
(605) 415-0033
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0963
SD
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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