Individual
JENNIFER GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12057 411TH AVE, CLAREMONT, SD 57432-7302
(605) 290-1163
Mailing address
12057 411TH AVE, CLAREMONT, SD 57432-7302
(605) 290-1163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0487
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041741
CERTIFICATION
SD
Enumeration date
11/10/2008
Last updated
01/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us