Organization
CENTRAL DAKOTA PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE E SMITH (PRESIDENT)
(701) 652-7179
Entity
Organization
Contact information
Practice address
800 4TH ST N, CARRINGTON, ND 58421-1217
(701) 652-7179
(701) 652-1407
Mailing address
800 4TH ST N, PO BOX 461, CARRINGTON, ND 58421-1217
(701) 652-7179
(701) 652-1407
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0942
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669681631
PERSONAL NPI
—
Enumeration date
02/13/2015
Last updated
02/13/2015
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