Organization
PRAIRIE GRIT ADAPTIVE SPORTS
Active
Organization
PRAIRIE GRIT ADAPTIVE SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL RENE' BUTGEREIT MOT, OTR/L (EXECUTIVE DIRECTOR)
(208) 949-3315
Entity
Organization
Contact information
Practice address
3515 16TH ST SW, MINOT, ND 58701-7225
(208) 949-3315
Mailing address
PO BOX 969, MINOT, ND 58702-0969
(208) 949-3315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up