Organization
FOR LIFE THERAPY INC
Active
Organization
FOR LIFE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB TESCH PT,DPT (PRESIDENT)
(605) 878-3334
Entity
Organization
Contact information
Practice address
913 10TH AVE SE, WATERTOWN, SD 57201
(605) 878-3334
Mailing address
913 10TH AVE SE, WATERTOWN, SD 57201
(605) 878-3334
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1508
SD
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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