Doctor Name: | KRISTA GLANZ MINOR |
NPI Number: | 1124271044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 552 |
Business Practice Address: | 808 Summit St Belle Fourche, SD - 577172220 |
Business Phone Number: | 6058926321 |
Business Fax Number: | |
Mailing Address: | 808 Summit St, BELLE FOURCHE |
State: | SD |
Postal Code: | 577172220 |
Phone Number: | 6058926321 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2008 |
NPI Last Update Date: | 10/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |