| Tim J Kudlock, PT | |
|
215 E Jackson Blvd, Suite B, Spearfish, SD 57783-2176 | |
| (605) 722-6880 | |
| (605) 722-6889 |
| Full Name | Tim J Kudlock |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 215 E Jackson Blvd, Spearfish, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720125438 | NPI | - | NPPES |
| 5831434 | Medicaid | SD | |
| 0041172 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0542 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tim J Kudlock, PT 215 E Jackson Blvd, Suite B, Spearfish, SD 57783-2176 Ph: (605) 722-6880 | Tim J Kudlock, PT 215 E Jackson Blvd, Suite B, Spearfish, SD 57783-2176 Ph: (605) 722-6880 |
Kristen Cross, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4444 Fax: 605-642-4241 | |
Katie Ann Schuelke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 N Canyon St, Spearfish, SD 57783 Phone: 605-642-7996 | |
Cathy Sulentic-morcom, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 N Canyon St, Spearfish, SD 57783 Phone: 605-642-7996 | |
Deming Haugland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 Falcon Crest Dr, Spearfish, SD 57783 Phone: 605-642-2977 | |
Matthew Scott Weigel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Canyon St, Spearfish, SD 57783 Phone: 605-642-7996 Fax: 605-642-5955 | |
Sara Mosset, DPT, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2449 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4370 | |
Jane Ann Holstein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4444 |