Individual
SHAINA LONNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 N DAKOTA AVE, CORSICA, SD 57328-2110
(507) 360-2361
Mailing address
1700 PINE ST, TYNDALL, SD 57066-2345
(507) 360-2361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2055
SD
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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