Healthcare Provider Details

I. General information

NPI: 1437584901
Provider Name (Legal Business Name): ADAM LAWRENCE LADWIG DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 BOWER ST
VERMILLION SD
57069-1251
US

IV. Provider business mailing address

2803 CHEROKEE CT
VERMILLION SD
57069-7214
US

V. Phone/Fax

Practice location:
  • Phone: 605-670-0980
  • Fax:
Mailing address:
  • Phone: 605-670-0980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2107
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: