NPI 1003082629
Roni Petik, RPT
Practice location
- Address
- 1039 Montgomery St, Custer, SD 57730-1304
- Phone
- (605) 673-2229
- Mailing address
- PO Box 3450, Rapid City, SD 57709-3450
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003082629
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 May 2008
- Record last updated
- 3 May 2008
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.