Individual
TYANNE L LUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
901 4TH ST NW, WATERTOWN, SD 57201-1565
(605) 886-8471
(605) 886-9317
Mailing address
PO BOX 290, WATERTOWN, SD 57201-0290
(605) 886-8471
(605) 886-9317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1141
SD
Other
Enumeration date
01/12/2006
Last updated
10/25/2007
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