Healthcare Provider Details

I. General information

NPI: 1619769387
Provider Name (Legal Business Name): RMD RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E FAIRLANE DR
RAPID CITY SD
57701-7207
US

IV. Provider business mailing address

405 E FAIRLANE DR
RAPID CITY SD
57701-7207
US

V. Phone/Fax

Practice location:
  • Phone: 605-513-5197
  • Fax: 605-513-5198
Mailing address:
  • Phone: 605-513-5197
  • Fax: 605-513-5198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: RYAN LETTERMAN
Title or Position: CEO
Credential:
Phone: 714-615-7729