Organization
LYMPHEDEMA THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE M LANGSTON CLT, LMT (OWNER, CERTIFIED LYMPHEDEMA THERAPI)
(605) 610-7995
Entity
Organization
Contact information
Practice address
6108 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
(605) 610-7995
Mailing address
6108 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
(605) 610-7995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT11131
SD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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