MEDICARE: STEPHANIE ANN RAHN I 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	1406	SD

General Provider Information

NPI Number	:	1376708446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANN RAHN I P.T.

Provider Business Mailing Address
First Line	:	4500 S PRINCE OF PEACE PL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-5830
Country	:	US
Telephone Number	:	605-322-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 S PRINCE OF PEACE PL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-5830
Country	:	US
Telephone Number	:	605-322-5600
Fax Number	:

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

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	07/28/2008

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