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Organization

DPT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSHUA M MOODY MSPT (THERAPIST)
(605) 996-4778
Entity
Organization

Contact information

Practice address
1319 W HAVENS ST, MITCHELL, SD 57301-4116
(605) 996-4778
Mailing address
1319 W HAVENS ST, MITCHELL, SD 57301-4116
(605) 996-4778

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4998325
BLUE CROSS BLUE SHIELD
SD
05
5834960
SD
01
9213206
DAKOTA CARE
SD
01
P00278968
MEDICARE RAILROAD
SD
Enumeration date
02/26/2007
Last updated
09/04/2008
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