# PRAIRIE REHABILITATION SERVICES, INC.

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

## Provider details

- **NPI number:** 1902892409
- **Authorized official:** LEE S GLASOE OTR/L, CHT (ADMINISTRATOR)
- **Authorized official phone:** (605) 334-5630

## Contact information

- **Practice address:** 1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
- **Practice address phone:** (605) 334-5630
- **Practice address fax:** (605) 332-5327
- **Mailing address:** 1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
- **Mailing address phone:** (605) 334-5630
- **Mailing address fax:** (605) 332-5327

## 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 | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 022510002 | MN | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0225410001 | SD | — |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 08/17/2009
