MEDICARE: ALAINA ROLLAG

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

General Provider Information

NPI Number	:	1932784048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAINA ROLLAG

Provider Business Mailing Address
First Line	:	145 91ST ST
Second Line	:
City	:	BEAVER CREEK
State	:	MN
Zip	:	56116-4082
Country	:	US
Telephone Number	:	605-261-5870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 W 18TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-0401
Country	:	US
Telephone Number	:	605-312-9500
Fax Number	:

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

Provider Enumeration Date	:	03/11/2021
Last Update Date	:	03/11/2021

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Directions to “ ALAINA ROLLAG ” Practice Location

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