Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIM J KUDLOCK, PT
ActivePhysical Therapy Assistant · SPEARFISH, SD
Registration Details
- NPI Number
- 1720125438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.244298981593 yrs)
- Last Updated
- Jul 9, 2007
- License
-
0542 (SD)
Practice Information
- Address
-
215 E JACKSON BLVDSUITE BSPEARFISH, SD, 577832176Browse SD providers · Browse ZIP 57783
- Phone
- 6057226880
- Fax
- 6057226889
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SPEARFISH, SD
| Name | Credential | NPI |
|---|---|---|
| CATHY SULENTIC-MORCOM | MPT | 1063410447 |
| KIMBERLY S. COCKRUM | MSPT | 1922006303 |
| KIMBERLY KAY GREENLEE | PT | 1982762555 |
| BRYAN CLARK HAIVALA | PT | 1447318217 |
| NICHOLE JANE WINCKLER | PT | 1306904172 |
| HEATHER MAY GRAF | PT | 1881752467 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.