# PRESTIGE REHAB SD PLLC

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

## Provider details

- **NPI number:** 1356172696
- **Authorized official:** DANIEL REIZIS PT (MANAGING MEMBER)
- **Authorized official phone:** (855) 678-8887

## Contact information

- **Practice address:** 4809 W 41ST ST STE 202, SIOUX FALLS, SD 57106-1565
- **Practice address phone:** (855) 678-8887
- **Practice address fax:** (855) 678-8887
- **Mailing address:** 4809 W 41ST ST STE 202, SIOUX FALLS, SD 57106-1565
- **Mailing address phone:** (855) 678-8887
- **Mailing address fax:** (855) 678-8887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/09/2024
- **Last updated:** 08/21/2024