Individual
CAILEY IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
511 NATIONAL ST, BELLE FOURCHE, SD 57717-1836
(605) 723-0185
(605) 723-0186
Mailing address
511 NATIONAL ST, BELLE FOURCHE, SD 57717-1836
(605) 723-0185
(605) 723-0186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2438
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2438
PHYSICAL THERAPIST LICENSE NUMBER
SD
Enumeration date
06/15/2022
Last updated
02/19/2024
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