Individual
NANCY JO WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1407 E CHERRY ST, VERMILLION, SD 57069-2602
(605) 624-7246
(605) 624-7177
Mailing address
1407 E CHERRY ST, VERMILLION, SD 57069-2602
(605) 624-7246
(605) 624-7177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1407
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19685
AVERA
SD
01
—
4992211
SOUTH DAKOTA BLUE CROSS BLUE SHIELD
SD
01
—
9260355
DAKOTACARE
SD
Enumeration date
06/08/2006
Last updated
07/28/2008
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