Individual
SARA GINKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
Mailing address
1925 RESERVE ST APT 12, SPEARFISH, SD 57783-3319
(308) 360-3441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0611
SD
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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