Individual
REBECCA ANN HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1610 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1749
(605) 331-0588
Mailing address
1610 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1749
(605) 331-0588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT10196
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT10196
LMT
SD
Enumeration date
02/11/2019
Last updated
06/11/2019
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