Individual
IRENE MARIE SIVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 MOUNT RUSHMORE RD STE 1, RAPID CITY, SD 57701-8264
(605) 574-1998
Mailing address
1220 MOUNT RUSHMORE RD STE 1, RAPID CITY, SD 57701-8264
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11683
SD
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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