Individual
TOM WAAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
330 DAKOTA DUNES BLVD STE 300, DAKOTA DUNES, SD 57049-5462
(605) 217-2100
Mailing address
330 DAKOTA DUNES BLVD STE 300, DAKOTA DUNES, SD 57049-5462
(605) 217-2100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT10954
SD
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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