Most Relevant Information
Provider Data
| NPI Number: | 1003472861 |
| Provider Name: | COOPER ROBERT HAUSMANN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2362 |
Most Important Dates
| Enumeration Date: | 05/16/2019 |
| Last Updated: | 10/14/2021 |
Provider Practice Location
323 SW 10TH ST
MADISON
SD
570423200
Practice Location Phone/Fax
| Phone: | 6052566551 |
| Fax: | 6052566449 |
Provider Mailing Location
323 SW 10TH ST
MADISON
SD
570423200
Provider Mailing Phone/Fax
| Phone: | 6052566551 |
| Fax: | 6052566449 |