OrganizationActive
Physiolife 605 PLLC
NPI 1396433629 · Physical Therapy Clinic/Center · Harrisburg, SD
Provider details
- NPI number
- 1396433629
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trever Wagner, Owner(605) 767-1601
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
220 S Cliff Ave Ste 102
Harrisburg, SD 57032-2485
Phone: (605) 770-7331
Approximate (ZIP-level) locationGet directions
Mailing address
220 S Cliff Ave Ste 102
Harrisburg, SD 57032-2485
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.