Individual
MRS. VIRGINIA MARIE MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2320
Mailing address
6005 E POWDER HOUSE CIR, SIOUX FALLS, SD 57110-7468
(605) 338-9434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0968
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0689
PT LICENSE
SD
01
—
0699
PT LICENSE
OK
05
—
5832132
—
SD
Enumeration date
03/29/2007
Last updated
07/08/2007
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