Individual
MR. JAY MATTHEW EIDSNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
810 E 23RD ST, 2ND FLOOR, SIOUX FALLS, SD 57105-2135
(605) 322-5123
Mailing address
810 E 23RD ST, 2ND FLOOR, SIOUX FALLS, SD 57105-2135
(605) 322-5123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0913
SD
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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