Individual
MRS. TARA DOMKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
Mailing address
520 N CANYON ST, SPEARFISH, SD 57783-2320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1888
SD
225100000X
Physical Therapist
3046
NE
Other
Enumeration date
03/06/2011
Last updated
08/22/2016
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