Individual
NICOLE FLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
5625 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57108-8600
(605) 359-3827
Mailing address
1704 S SHAFER DR, SIOUX FALLS, SD 57110-3914
(605) 359-3827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1114
SD
225XP0200X
Pediatric Occupational Therapist
1114
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114
SDBMOE STATE LICENSE
SD
Enumeration date
07/25/2018
Last updated
08/14/2024
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