Healthcare Provider Details

I. General information

NPI: 1497666143
Provider Name (Legal Business Name): HANNAH BEYERS COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2905 3RD AVE SE
ABERDEEN SD
57401-5420
US

IV. Provider business mailing address

13401 350TH AVE
ROSCOE SD
57471-6200
US

V. Phone/Fax

Practice location:
  • Phone: 605-626-4200
  • Fax:
Mailing address:
  • Phone: 605-281-9188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: