Healthcare Provider Details
I. General information
NPI: 1033750005
Provider Name (Legal Business Name): JOEL HOLZAPFEL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/01/2019
Last Update Date: 10/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2571 SW LAKE DRIVE SUITE 200
SIOUX FALLS SD
57106
US
IV. Provider business mailing address
229 AIRPORT RD STE 7
ARDEN NC
28704-6403
US
V. Phone/Fax
- Phone: 330-962-2916
- Fax:
- Phone: 330-962-2916
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| 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:
Title or Position:
Credential:
Phone: