Individual
MRS. MICHELLE LEE BERGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(695) 322-8000
Mailing address
1513 E BIRCH ST, BRANDON, SD 57005-2018
(712) 644-5096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1764
SD
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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