Organization
TINY TOTS PT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LARSON PT (PHYSICAL THERAPIST/CEO)
(320) 979-0232
Entity
Organization
Contact information
Practice address
6100 W 41ST ST STE 102, SIOUX FALLS, SD 57106-5557
(605) 951-0417
(605) 356-8075
Mailing address
27805 481ST AVE, CANTON, SD 57013-5543
(605) 951-0417
(605) 356-8075
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
1151
SD
261QP2000X
Physical Therapy Clinic/Center
Primary
1151
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5841612
—
SD
Enumeration date
07/08/2016
Last updated
04/18/2017
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