Organization
PHYSIO PERFORMANCE, PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JENSEN DPT (OWNER, PHYSICAL THERAPIST)
(605) 431-4020
Entity
Organization
Contact information
Practice address
725 SAINT JOSEPH ST STE B6, RAPID CITY, SD 57701-2720
(605) 431-4020
Mailing address
1115 FAIRVIEW ST, RAPID CITY, SD 57701-4413
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1777
SD
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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