Individual
MS. SUZETTE STERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
916 MT. VIEW RD, RAPID CITY, SD 57702
(605) 343-8577
(605) 343-0071
Mailing address
916 MT VIEW RD, RAPID CITY, SD 57702-2521
(605) 343-8577
(605) 343-0071
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045
SD LICENSE
SD
Enumeration date
12/27/2007
Last updated
12/27/2007
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