# FLEXIBIL OT INC

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

## Provider details

- **NPI number:** 1396805222
- **Authorized official:** HOLLI MINER OT (PRESIDENT)
- **Authorized official phone:** (605) 484-9759

## Contact information

- **Practice address:** 4824 ENCHANTED PINES DR, RAPID CITY, SD 57701-9235
- **Practice address phone:** (605) 484-9759
- **Practice address fax:** (605) 721-5940
- **Mailing address:** 4824 ENCHANTED PINES DR, RAPID CITY, SD 57701-9235
- **Mailing address phone:** (605) 484-9759
- **Mailing address fax:** (605) 721-5940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 0597 | SD | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020