Individual
KIMBERLY KAY NACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-5000
(605) 322-5040
Mailing address
5412 W 51ST ST, SIOUX FALLS, SD 57106-1828
(605) 361-5935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0797
SD
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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