Organization
BLACK HILLS HEALING ARTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P LOOYENGA MSPT (PHYSICAL THERAPIST)
(605) 341-4449
Entity
Organization
Contact information
Practice address
3618 CANYON LAKE DR, STE. 111, RAPID CITY, SD 57702-1027
(605) 341-4449
(605) 341-4448
Mailing address
3618 CANYON LAKE DR, STE. 111, RAPID CITY, SD 57702-1027
(605) 341-4449
(605) 341-4448
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1019
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5832672
—
SD
Enumeration date
06/05/2007
Last updated
10/17/2007
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