NPI 1083711386
Rehabilitation Medical Supply
Practice location
- Address
- 7110 Jordan Drive, Rapid City, SD 57702-8738
- Phone
- (605) 342-4412
- Fax
- (605) 342-4211
- Mailing address
- 1020 W 18th St, Sioux Falls, SD 57104-4707
Authorised official
- Name
- Amy M Jensen
- Title
- Director
- Phone
- (605) 444-9711
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1083711386
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 8 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.