Individual
KELSEY VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
505 KANSAS CITY ST STE 3, RAPID CITY, SD 57701-3673
(605) 222-7336
Mailing address
4303 KATELAND ST, RAPID CITY, SD 57701-3204
(254) 223-3914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1168
SD
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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