Individual
THERESA CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N KROHN PL, SIOUX FALLS, SD 57103-1815
(605) 331-0588
Mailing address
2607 E 18TH ST, SIOUX FALLS, SD 57103-3228
(417) 293-4875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
TEMP138
SD
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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