Individual
MATTHEW PHILLIP CAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7640 S LOUISE AVE, SIOUX FALLS, SD 57108-5999
(605) 941-2747
Mailing address
4105 N MONTANA AVE, SIOUX FALLS, SD 57107-6888
(605) 929-3023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11516
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MT11516
—
SD
Enumeration date
12/30/2021
Last updated
12/30/2021
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