Individual
MACIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3064 COVINGTON ST STE 104, RAPID CITY, SD 57703-7208
(605) 787-2719
Mailing address
218 E CUSTER ST, RAPID CITY, SD 57701-1010
(605) 933-1131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2222
SD
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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