Danial Michael Casey, OTRL

Individual provider Active NPI Occupational Therapist · Rapid City, SD

NPI 1164541140 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1164541140
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0628 (SD)
Practice address
7110 Jordan Dr.
Rapid City, SD 57702
Phone
(605) 342-4412
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0628 SD Yes

Addresses

Primary practice location

7110 Jordan Dr.
Rapid City, SD 57702

Mailing address

1929 Hillsview Dr
Rapid City, SD 57702-3132

Other identifiers

IdentifierTypeStateIssuer
5834850MedicaidSD

Other providers in Rapid City, SD

All providers in Rapid City, SD · Occupational Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.