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NPI Code Detail

MEDICARE: RICHARD JEROME NESS MS PT

MEDICARE: RICHARD JEROME NESS MS PT
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
1225100000XPhysical Therapist4648MN

General Provider Information

NPI Number : 1760601066
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD JEROME NESS MS PT
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-6585
Fax Number :
Provider Business Practice Location Address
First Line : 1750 47TH AVE S
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-7595
Country : US
Telephone Number : 701-757-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 03/19/2024

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