Individual
MRS. TAMMY CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 W MAIN ST STE 210, RAPID CITY, SD 57702-2439
(605) 399-2273
Mailing address
2525 W MAIN ST STE 210, RAPID CITY, SD 57702-2439
(605) 399-2273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11664
MT
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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