Organization
GREAT PLAINS THERAPY LLC
Active
Organization
GREAT PLAINS THERAPY LLC
Active
Other names
FYZICAL Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ELDON DOUGLASS PT (CCO)
(239) 947-4184
Entity
Organization
Contact information
Practice address
1407 E CHERRY ST, VERMILLION, SD 57069-2602
(605) 624-7246
(605) 624-7177
Mailing address
PO BOX 632658, CINCINNATI, OH 45263-2658
(702) 818-5000
(702) 818-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40237
WELLMARK BCBS
SD
01
—
9202603
DAKOTACARE
SD
Enumeration date
10/19/2007
Last updated
07/02/2026
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