Individual
JACOB TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
913 10TH AVE SE, WATERTOWN, SD 57201-9600
(605) 878-3334
(605) 878-0245
Mailing address
913 10TH AVE SE, WATERTOWN, SD 57201-9600
(605) 878-3334
(605) 878-0245
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
1508
SD
2251S0007X
Sports Physical Therapist
1508
SD
2251X0800X
Orthopedic Physical Therapist
Primary
1508
SD
Other
Enumeration date
06/10/2011
Last updated
05/21/2013
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