MEDICARE: THOMAS ARTHUR REDING P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	55	SD

General Provider Information

NPI Number	:	1205982212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS ARTHUR REDING P.T.

Provider Business Mailing Address
First Line	:	16 S ELKJER CIR
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-4338
Country	:	US
Telephone Number	:	605-334-2462
Fax Number	:	605-334-0443

Provider Business Practice Location Address
First Line	:	16 S ELKJER CIR
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-4338
Country	:	US
Telephone Number	:	605-334-2462
Fax Number	:	605-334-0443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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