Individual
THEA L PALLANSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1290 NORTH MAIN ST STE 2, WEBSTER, SD 57274-1114
(605) 345-3710
(605) 345-3905
Mailing address
PO BOX 577, 1290 N MAIN ST SUITE 3, WEBSTER, SD 57274
(605) 345-3710
(605) 345-3905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0150
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5831750
—
SD
Enumeration date
10/18/2005
Last updated
01/16/2017
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