Individual
BRETT D TEVELDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
07/13/2026
Update your record
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