Individual
JACK ANTONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7303 S CLIFF AVE, SIOUX FALLS, SD 57108-8752
(605) 961-7250
Mailing address
47111 298TH ST, BERESFORD, SD 57004-6731
(605) 951-6402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6282
SD
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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