Krista Glanz Minor, P.T.

Individual provider Active NPI Pediatric Physical Therapist · Belle Fourche, SD

NPI 1124271044 · NPPES record last updated Oct 23, 2008

Key facts

NPI
1124271044
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
552 (SD)
Practice address
808 Summit St
Belle Fourche, SD 57717-2220
Phone
(605) 892-6321
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
552SDMDPediatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 552 SD Yes

Addresses

Primary practice location

808 Summit St
Belle Fourche, SD 57717-2220

Mailing address

808 Summit St
Belle Fourche, SD 57717-2220
Phone (605) 892-6321

Other providers in Belle Fourche, SD

All providers in Belle Fourche, SD · Pediatric Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.