Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 2124 | SD |
NPI | 1346824208 |
---|---|
Provider Name | Anthony Husher |
First Address | Sioux Falls, SD 57103-7184 |
Second Address | Sioux Falls, SD 57103-7184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2021 |
Last Update Date | 07/05/2021 |