# THRIVE PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023757077
- **Authorized official:** SAMANTHA NOVOTNY DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (605) 840-9802

## Contact information

- **Practice address:** 510 W 14TH ST, WINNER, SD 57580-2514
- **Practice address phone:** (605) 840-9802
- **Mailing address:** 510 W 14TH ST, WINNER, SD 57580-2514
- **Mailing address phone:** (605) 840-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/28/2022
- **Last updated:** 05/28/2022