# BRANCHES OF THE VINE

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

## Provider details

- **NPI number:** 1225708506
- **Authorized official:** COLLEEN OLIVER PT (PT/OWNER)
- **Authorized official phone:** (605) 850-1532

## Contact information

- **Practice address:** 312 W 3RD ST, FAITH, SD 57626-6013
- **Practice address phone:** (605) 850-1532
- **Practice address fax:** (605) 374-5666
- **Mailing address:** 19415 US HIGHWAY 12, LEMMON, SD 57638-6303
- **Mailing address phone:** (605) 850-1532
- **Mailing address fax:** (605) 374-5666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 01/07/2026