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NPI Code Detail

MEDICARE: CAREY POEHLS PT, DPT,OCS

MEDICARE:   CAREY  POEHLS  PT, DPT,OCS
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
1225100000XPhysical Therapist1916SD

General Provider Information

NPI Number : 1578019436
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREY POEHLS PT, DPT,OCS
Provider Business Mailing Address
First Line : 2001 7TH ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-4661
Country : US
Telephone Number : 605-716-6474
Fax Number :
Provider Business Practice Location Address
First Line : 2001 7TH ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-4661
Country : US
Telephone Number : 605-716-6474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 08/17/2021

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Directions to “ CAREY POEHLS PT, DPT,OCS” Practice Location

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