Healthcare Provider Details

I. General information

NPI: 1316298516
Provider Name (Legal Business Name): DENISE CORBITT SCHWARDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2012
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

IV. Provider business mailing address

2501 W 22ND ST PO BOX 5046
SIOUX FALLS SD
57105-1305
US

V. Phone/Fax

Practice location:
  • Phone: 605-333-6833
  • Fax: 605-333-6818
Mailing address:
  • Phone: 605-333-6833
  • Fax: 605-333-6818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1402
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: