Organization
BLACK HILLS PEDIATRIC THERAPY, LLC
Active
Other names
Dakota Stretch Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM WALD PT, DPT (PT, DPT - OWNER)
(605) 222-3773
Entity
Organization
Contact information
Practice address
505 KANSAS CITY ST., SUITE #3, RAPID CITY, SD 57701-3673
(605) 222-3773
(605) 791-0631
Mailing address
505 KANSAS CITY ST., SUITE #3, RAPID CITY, SD 57701-3673
(605) 222-3773
(605) 791-0631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
01/09/2020
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