Healthcare Provider Details

I. General information

NPI: 1942158449
Provider Name (Legal Business Name): KYAH MICHELLE ESCOBIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 W 69TH ST UNIT 102
SIOUX FALLS SD
57108-5622
US

IV. Provider business mailing address

400 E 15TH AVE
MITCHELL SD
57301-1104
US

V. Phone/Fax

Practice location:
  • Phone: 605-782-9436
  • Fax:
Mailing address:
  • Phone: 605-770-9969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number6248
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: