Healthcare Provider Details

I. General information

NPI: 1942120993
Provider Name (Legal Business Name): RYNN RENAE OSTHUS OTD R/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RYNN RENAE OSTHUS OTD R/L

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N CAPITAL ST
MITCHELL SD
57301-2002
US

IV. Provider business mailing address

110 N MENTZER ST
MITCHELL SD
57301-8001
US

V. Phone/Fax

Practice location:
  • Phone: 605-995-7502
  • Fax: 605-995-3084
Mailing address:
  • Phone: 605-995-7502
  • Fax: 605-995-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: