Individual
KELLI BOEKELHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
415 4TH AVE NE, WATERTOWN, SD 57201-2614
(605) 886-8431
Mailing address
1021 15TH ST SE APT 2, WATERTOWN, SD 57201-5370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014
SD
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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