Individual
MR. FORREST ANSHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
302 W 6TH ST, BROOKINGS, SD 57006-1159
(605) 692-8848
(605) 692-8849
Mailing address
302 W 6TH ST, BROOKINGS, SD 57006-1159
(605) 692-8848
(605) 692-8849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0389
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830704
—
SD
01
—
P00603949
RAILROAD MEDICARE
SD
Enumeration date
04/27/2006
Last updated
04/27/2021
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