# INTEGRATED PHYSICAL MEDICINE & REHABILITATION LLC

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

## Provider details

- **NPI number:** 1205087723
- **Authorized official:** MICHAEL A MCHENRY MD (PARTNER)
- **Authorized official phone:** (605) 217-2615

## Contact information

- **Practice address:** 575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
- **Practice address phone:** (605) 217-2667
- **Mailing address:** 575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
- **Mailing address phone:** (605) 217-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2008
- **Last updated:** 10/02/2008