Individual
THERESA LYNN BAUSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1325 S CLIFF AVE, PO BOX 5045, SIOUX FALLS, SD 57117-5045
(605) 322-5017
(605) 322-5040
Mailing address
750 141ST ST, LUVERNE, MN 56156-4043
(507) 673-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0421
SD
225100000X
Physical Therapist
5883
MN
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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