Individual
TAYLOR DIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W 16TH AVE, TYNDALL, SD 57066-2318
(605) 589-2100
Mailing address
410 W 16TH AVE, TYNDALL, SD 57066-2318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6143
SD
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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