Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 541 | SD |
NPI | 1235467085 |
---|---|
Provider Name | Ms. Kristi Pearl Hupp |
First Address | Sioux Falls, SD 57105-1016 |
Second Address | Sioux Falls, SD 57105-1016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2009 |
Last Update Date | 04/12/2009 |