Individual
TIMOTHY L FAIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3535 STURGIS RD, RAPID CITY, SD 57702-2345
(605) 920-0373
Mailing address
3535 STURGIS RD, RAPID CITY, SD 57702-2345
(605) 920-0373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
56
SD
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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