Individual
MIKALA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 4TH ST NW, WATERTOWN, SD 57201-1558
(605) 886-8471
(605) 886-9317
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1753
SD
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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