Individual
KATIE L NASLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1109 W CEDAR ST, BERESFORD, SD 57004-1524
(605) 763-5096
(605) 763-2206
Mailing address
1109 W CEDAR ST, BERESFORD, SD 57004-1524
(605) 763-5096
(605) 763-2206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03841
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474916
—
IA
01
—
42147982000
NEBRASKA MEDICAID
—
01
—
5835808
SOUTH DAKOTA MEDICAID
—
Enumeration date
01/31/2006
Last updated
10/14/2008
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