Individual
MISS STACEY LYNN TRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2300
Mailing address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0262
SD
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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