Organization
BLACK HILLS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY SULENTIC-MORCOM MPT (OWNER AND PHYSICAL THERAPIST)
(605) 642-7996
Entity
Organization
Contact information
Practice address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
(605) 642-5955
Mailing address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
(605) 642-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006087
WELLMARK BCBS
SD
05
—
115961500
—
WY
01
—
9167780
MEDICAID DME
SD
Enumeration date
02/04/2006
Last updated
08/25/2008
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