Individual
MRS. KATHLEEN A BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2001 7TH ST, RAPID CITY, SD 57701-4661
(605) 716-6474
(605) 716-6484
Mailing address
2001 7TH ST, RAPID CITY, SD 57701-4661
(605) 716-6474
(605) 716-6484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0462
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5831512
—
SD
Enumeration date
08/22/2005
Last updated
07/08/2007
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