Individual
MR. KEATON BENJAMIN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2006 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-4622
(605) 342-3110
(605) 342-3120
Mailing address
2006 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-4622
(605) 342-3110
(605) 342-3120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1514
SD
Other
Enumeration date
06/15/2010
Last updated
07/20/2010
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