Organization
DPT INC
Active
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
Update your record
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