Individual
KRISTOFFER SCOTT MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1220 MT RUSHMORE RD, STE 1, RAPID CITY, SD 57701
(605) 341-7500
(605) 341-7903
Mailing address
1220 MT RUSHMORE RD, STE 1, RAPID CITY, SD 57701
(605) 341-7500
(605) 341-7903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1277
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54534
SIOUX VALLEY HEALTH
SD
01
—
PT1277
DAKOTA CARE
SD
Enumeration date
11/21/2006
Last updated
07/08/2007
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