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General NPI Number Information
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NPI Number | 1285585729
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Entity Type | Organization
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Legal Business Name | THE PHYSICAL THERAPY CENTER OF STURGIS, PC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 2107 LAZELLE ST
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City | STURGIS
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State | SD
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Zip | 57785
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Country | US
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Telephone | 605-561-1050
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Fax | 605-561-0107
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Provider Business Mailing Address
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Address Line | 2107 LAZELLE ST
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City | STURGIS
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State | SD
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Zip | 57785
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Country | US
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Telephone | 605-561-1050
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Fax | 605-561-0107
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARIAH HEATON
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Credential | DPT
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Telephone | 605-721-5950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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