Individual
MR. BRIAN DALE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
1210 W 18TH ST, SUITE LL01, SIOUX FALLS, SD 57104-4647
(605) 328-1860
(605) 328-1857
Mailing address
1210 W 18TH ST, SUITE LL01, SIOUX FALLS, SD 57104-4647
(605) 328-1860
(605) 328-1857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0787
SD
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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