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Individual

SOMER ANNE JOYCE SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
810 E 23RD ST FL 2, SIOUX FALLS, SD 57105-2135
(605) 322-5150
(605) 322-5174
Mailing address
810 E 23RD ST FL 2, SIOUX FALLS, SD 57105-2135
(605) 322-5083

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2048
NE
225100000X
Physical Therapist
Primary
2301
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0586412
IA
01
36584
BLUE CROSS BLUE SHIELD
NE
Enumeration date
11/16/2005
Last updated
08/02/2021
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