Individual
MEGAN NANKIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
913 10TH AVE SE, WATERTOWN, SD 57201-9600
(605) 878-3334
Mailing address
913 10TH AVE SE, WATERTOWN, SD 57201-9600
(605) 878-3334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1770
SD
2251G0304X
Geriatric Physical Therapist
1770
SD
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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