Individual
MAREN JANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 791-7400
Mailing address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 791-7400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2412
SD
225100000X
Physical Therapist
Primary
4109
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2412
LICENSE
SD
01
—
4109
PHYSICAL THERAPY LICENSE
NE
Enumeration date
08/06/2020
Last updated
03/31/2026
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