Individual
AUSTIN TYRELL GRUNDSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. OTR/L
Contact information
Practice address
1635 CAREGIVER CIR, RAPID CITY, SD 57702-8529
(605) 755-1100
Mailing address
1635 CAREGIVER CIR, RAPID CITY, SD 57702-8529
(605) 755-1100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0992
SD
Other
Enumeration date
07/26/2016
Last updated
10/09/2023
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