Organization
LITTLE MIRACLES, PT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY JEAN BRINK MSPT (PHYSICAL THERAPIST/OWNER)
(605) 343-2555
Entity
Organization
Contact information
Practice address
717 AUBURN DR, RAPID CITY, SD 57701-9584
(605) 343-2555
(605) 343-2563
Mailing address
717 AUBURN DR, RAPID CITY, SD 57701-9584
(605) 343-2555
(605) 343-2563
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0593
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134286206
NPI CONNECTED TO MY NAME
SD
05
—
5833610
—
SD
Enumeration date
01/07/2008
Last updated
01/07/2008
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