Doctor Name: | KRISTOFFER SCOTT MEREDITH |
NPI Number: | 1801961396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 1277 |
Business Practice Address: | 1220 Mt Rushmore Rd Ste 1 Rapid City, SD - 57701 |
Business Phone Number: | 6053417500 |
Business Fax Number: | 6053417903 |
Mailing Address: | 1220 Mt Rushmore Rd, Ste 1 RAPID CITY |
State: | SD |
Postal Code: | 57701 |
Phone Number: | 6053417500 |
Fax Number: | 6053417903 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |