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NPI Code Detail

MEDICARE: MS. CORTNI LAYNE KRUSEMARK OT

MEDICARE: MS. CORTNI LAYNE KRUSEMARK OT
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
1225X00000XOccupational Therapist1158NE
2225X00000XOccupational Therapist096309IA
3225X00000XOccupational Therapist4213SD

General Provider Information

NPI Number : 1770694341
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CORTNI LAYNE KRUSEMARK OT
Provider Business Mailing Address
First Line : 575 N SIOUX POINT RD
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5312
Country : US
Telephone Number : 605-217-2667
Fax Number : 605-217-2900
Provider Business Practice Location Address
First Line : 575 N SIOUX POINT RD
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5312
Country : US
Telephone Number : 605-217-2667
Fax Number : 605-217-2900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/23/2026

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Directions to “ MS. CORTNI LAYNE KRUSEMARK OT” Practice Location

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