# SIOUX FALLS PHYSICAL MEDICINE AND REHABILITATION, PC

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

## Provider details

- **NPI number:** 1780811778
- **Authorized official:** JERRY J BLOW MD (OWNER)
- **Authorized official phone:** (605) 988-0910

## Contact information

- **Practice address:** 101 W 69TH STR., STE 103, SIOUX FALLS, SD 57108-2440
- **Practice address phone:** (605) 988-0910
- **Practice address fax:** (605) 988-0911
- **Mailing address:** 101 W 69TH STR., STE 103, SIOUX FALLS, SD 57108-2440
- **Mailing address phone:** (605) 988-0910
- **Mailing address fax:** (605) 988-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3724 | SD | Yes |

## Other

- **Enumeration date:** 06/17/2009
- **Last updated:** 09/01/2009