Individual
WILLIAM PAUL LOOYENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3618 CANYON LAKE DR, STE 111, RAPID CITY, SD 57702-1027
(605) 341-4449
(605) 341-4448
Mailing address
3618 CANYON LAKE DR, STE 111, RAPID CITY, SD 57702-1027
(605) 341-4449
(605) 341-4448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1019
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019
LICENSE
SD
05
—
5832672
—
SD
Enumeration date
12/12/2006
Last updated
10/17/2007
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