| Organization Name: | HALL PHYSICAL THERAPY, LLC |
| NPI Number: | 1386004927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK KEVIN HALL (OWNER) |
| Mailing Address: | 871 E Sawgrass Trl Dakota Dunes |
| State: | SD US |
| Postal Code: | 570495198 |
| Phone Number: | 7125744410 |
| Fax Number: | 6054220226 |
| NPI Enumeration Date: | 02/24/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 0986 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |