MEDICARE: DR. LUKE E SKIFF PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305210514	VA
2	225100000X	Physical Therapist	2168	SD

General Provider Information

NPI Number	:	1013460377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE E SKIFF PT, DPT

Provider Business Mailing Address
First Line	:	1110 W OMAHA ST STE 3
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-8097
Country	:	US
Telephone Number	:	605-721-5950
Fax Number	:	605-721-5940

Provider Business Practice Location Address
First Line	:	1110 W OMAHA ST STE 3
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-8097
Country	:	US
Telephone Number	:	605-721-5950
Fax Number	:	605-721-5940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2016
Last Update Date	:	09/21/2021

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Directions to “ DR. LUKE E SKIFF PT, DPT” Practice Location

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