Individual
LEVI FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
Mailing address
111 PHEASANT ST, LINCOLN, ND 58504-9185
(605) 430-2899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2436
SD
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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