Individual
EMMA KOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(513) 575-6547
Mailing address
6470 RECEDA ST, RAPID CITY, SD 57703-8738
(513) 575-6547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/15/2025
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