NPI 1194325712

Travis Bolstad, DPT

Practitioner Physical Therapist Brookings, SD

Practice location

Address: 400 22nd Ave, Brookings, SD 57006-2450
Phone: (605) 697-7336
Mailing address: 45790 216a St, Volga, SD 57071-6820

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2166 (SD)

Other Physical Therapist providers in South Dakota →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 097556 (IA)

Registry record

NPI: 1194325712
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2020
Record last updated: 1 Nov 2020

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.