| Dakota Massage LLC | |
|
100 Douglas Ave Ste 102 Yankton SD 57078-4474 | |
| (605) 655-4477 | |
| Not Available |
| Full Name | Dakota Massage LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 100 Douglas Ave Ste 102, Yankton, South Dakota |
| Authorized Official Name and Position | Theresa Riibe (MASSAGE THERAPIST) |
| Authorized Official Contact | 6056554477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Massage LLC 100 Douglas Ave Ste 102 Yankton SD 57078-4474 Ph: (605) 655-4477 | Dakota Massage LLC 100 Douglas Ave Ste 102 Yankton SD 57078-4474 Ph: (605) 655-4477 |
| NPI Number | 1417600321 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417600321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 251T00000X | Program Of All-inclusive Care For The Elderly (pace) Provider Organization | (NU) | Secondary |
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