NPI 1174044150

Northeast Physical Therapy Group, INC.

Organisation Early Intervention Provider Agency Watertown, SD

Practice location

Address: 3395 12th Ave NW, Watertown, SD 57201-7225
Phone: (605) 881-0164
Mailing address: PO Box 113, Watertown, SD 57201-0113

Authorised official

Name: Rick Briggs
Title: Owner
Phone: (605) 881-0164

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 0184 (SD)

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Registry record

NPI: 1174044150
Entity type: Organization
NPI issued: 29 Jun 2017
Record last updated: 29 Jun 2017

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.