| Ralph Thomas Wiedmann, LMT | |
|
2065 Campbell Dr, Huron, SD 57350-3446 | |
| (402) 705-2399 | |
| Not Available |
| Full Name | Ralph Thomas Wiedmann |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2065 Campbell Dr, Huron, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083504245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT12086 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Thomas Wiedmann, LMT 2305 S Capital St Apt 5, Mitchell, SD 57301-4319 Ph: (402) 705-2399 | Ralph Thomas Wiedmann, LMT 2065 Campbell Dr, Huron, SD 57350-3446 Ph: (402) 705-2399 |
Sarah Anne Nickels, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2065 Campbell Dr, Huron, SD 57350 Phone: 605-461-3906 Fax: 605-352-9776 |
Ashley Kesterson, LMT, NMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2065 Campbell Dr, Huron, SD 57350 Phone: 406-437-1286 |