Healthcare Provider Details

I. General information

NPI: 1295665305
Provider Name (Legal Business Name): CHASE DYLAN HARMON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 E 8TH ST # 57580
WINNER SD
57580-2677
US

IV. Provider business mailing address

512 E 316TH ST
VERMILLION SD
57069-6917
US

V. Phone/Fax

Practice location:
  • Phone: 605-842-7100
  • Fax:
Mailing address:
  • Phone: 402-340-7106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number6264
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: