Individual
BRETT D TEVELDAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Mailing address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1042
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042.1
DAKOTACARE
SD
01
—
1810856
ARAZ
SD
01
—
27416
SIOUX VALLEY HEALTH PLAN
SD
01
—
361J8TE
BLUE CROSS BLUE SHIELD MN
SD
01
—
4994832
BLUE CROSS BLUE SHIELD SD
SD
01
—
4996126
BLUE CROSS BLUE SHIELD SD
SD
01
—
4996418
BLUE CROSS BLUE SHIELD SD
SD
05
—
5833140
—
SD
05
—
5833142
—
SD
05
—
5833143
—
SD
05
—
5833144
—
SD
01
—
64-03936
MEDICA
SD
01
—
64-03937
MEDICA
SD
01
—
64-04055
MEDICA
SD
01
—
64-05333
MEDICA
SD
Enumeration date
09/22/2005
Last updated
07/08/2007
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