Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1033143649 |
---|---|
Provider Name | Mr. Gary Lee Merkel |
First Address | Hot Springs, SD 57747-2120 |
Second Address | Hot Springs, SD 57747-1480 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |