Doctor Name: | KARMEN VANDERWERFF |
NPI Number: | 1861685992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 1138 |
Business Practice Address: | 308 S 5th St Milbank, SD - 572521929 |
Business Phone Number: | 6054450529 |
Business Fax Number: | |
Mailing Address: | 308 S 5th St, MILBANK |
State: | SD |
Postal Code: | 572521929 |
Phone Number: | 6054450529 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 1138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |