Organization
PRAIRIE PERFORMANCE PHYSICAL THERAPY & FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACY RAE BUFFINGTON DPT (OWNER/PHYSICAL THERAPIST)
(605) 375-3039
Entity
Organization
Contact information
Practice address
510 1ST ST E, BUFFALO, SD 57720
(605) 641-3678
Mailing address
12737 BROWN JOHNSON RD, BUFFALO, SD 57720-6002
(605) 375-3039
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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