Individual
SHARON ROSE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
255 TEXAS ST, RAPID CITY, SD 57701-7319
(402) 541-2242
Mailing address
1319 E OAKLAND ST UNIT B, RAPID CITY, SD 57701-5946
(402) 541-2242
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
083635
IA
225100000X
Physical Therapist
Primary
2200
SD
Other
Enumeration date
08/23/2019
Last updated
03/26/2020
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