Individual
DR. TIMOTHY DARIEN THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 491-3189
Mailing address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 491-3189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2571
SD
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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