Individual
MS. PATTI J BERG-POPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MPT
Contact information
Practice address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2320
Mailing address
1125 S GLENDALE AVE, SIOUX FALLS, SD 57105-0312
(605) 338-2156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1169
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833940
—
SD
Enumeration date
03/29/2007
Last updated
06/30/2015
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