Individual
MRS. JODIE MCMACKEN THORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4500 S PRINCE OF PEACE PL, SUITE 1, SIOUX FALLS, SD 57103-5830
(605) 322-5618
Mailing address
309 BIRCHWOOD CIR, BRANDON, SD 57005-2105
(605) 582-7922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0126
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025846700
—
NE
01
—
1700070307
WELLMARK BCBS SD
—
05
—
1700070307
—
IA
05
—
1700070307
—
MN
01
—
9290265
DAKOTACARE
—
Enumeration date
08/28/2007
Last updated
07/26/2010
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