Individual
BREENNA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
Mailing address
112 STAGE RUN LOOP APT B, DEADWOOD, SD 57732-8502
(701) 218-0168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PENDING
SD
Other
Enumeration date
06/23/2025
Last updated
06/27/2025
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