Healthcare Provider Details

I. General information

NPI: 1710907530
Provider Name (Legal Business Name): HEALTH PLUS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 02/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 N HARRISON AVE STE 2A
PIERRE SD
57501-2376
US

IV. Provider business mailing address

1601 N HARRISON AVE STE 1B
PIERRE SD
57501-2376
US

V. Phone/Fax

Practice location:
  • Phone: 606-945-1371
  • Fax: 605-945-3237
Mailing address:
  • Phone: 606-945-1371
  • Fax: 605-945-3237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JAMY A JONES
Title or Position: OWNER/PROVIDER
Credential: PT
Phone: 605-945-1371