Organization
BRANCHES OF THE VINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN OLIVER PT (PT/OWNER)
(605) 850-1532
Entity
Organization
Contact information
Practice address
312 W 3RD ST, FAITH, SD 57626-6013
(605) 850-1532
(605) 374-5666
Mailing address
19415 US HIGHWAY 12, LEMMON, SD 57638-6303
(605) 850-1532
(605) 374-5666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
01/07/2026
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