Organization
PRO PT, INC.
Active
Other names
Professionals in Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JOHNSON (BUSINESS MANAGER)
(605) 692-8848
Entity
Organization
Contact information
Practice address
302 W 6TH ST, BROOKINGS, SD 57006-1159
(605) 692-8848
(605) 692-8849
Mailing address
302 W 6TH ST, BROOKINGS, SD 57006-1159
(605) 692-8848
(605) 692-8849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF4108
RAILROAD MEDICARE
—
Enumeration date
09/06/2006
Last updated
04/27/2021
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