MEDICARE: MARIE KAISER

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	837	NE

General Provider Information

NPI Number	:	1194116749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE KAISER

Provider Business Mailing Address
First Line	:	812 CANBY ST
Second Line	:
City	:	VERMILLION
State	:	SD
Zip	:	57069-3503
Country	:	US
Telephone Number	:	605-202-0615
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 E LINCOLN ST
Second Line	:
City	:	ELK POINT
State	:	SD
Zip	:	57025-2284
Country	:	US
Telephone Number	:	605-356-2774
Fax Number	:

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

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	05/24/2025

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Directions to “ MARIE KAISER ” Practice Location

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