Individual
ELLIE JEAN FELDHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 8TH AVE NW, CLARK, SD 57225-1147
(605) 532-3431
Mailing address
15 1ST ST NW APT 209, WATERTOWN, SD 57201-3875
(605) 824-4724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
SD
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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