MEDICARE: MARTHA ROSE GUNDER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171400000X	Health & Wellness Coach
2	372500000X	Chore Provider
3	3747A0650X	Attendant Care Provider
4	3747P1801X	Personal Care Attendant
5	374U00000X	Home Health Aide
6	376K00000X	Nurse's Aide
7	372600000X	Adult Companion

General Provider Information

NPI Number	:	1467395483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ROSE GUNDER

Provider Business Mailing Address
First Line	:	620 WAYSIDE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-0120
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 WAYSIDE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-0120
Country	:	US
Telephone Number	:	785-282-8472
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ MARTHA ROSE GUNDER ” Practice Location

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