Little Miracles, PT, Inc

Organization Active NPI Home Health Agency · Rapid City, SD

NPI 1215112438 · NPPES record last updated Jan 7, 2008

Key facts

NPI
1215112438
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
0593 (SD)
Legal business name
LITTLE MIRACLES, PT, INC
Practice address
717 Auburn Dr
Rapid City, SD 57701-9584
Phone
(605) 343-2555
Fax
(605) 343-2563
NPI assigned
Jan 7, 2008
Organization subpart
No

Authorized official

Name
Ms. Kimberly Jean Brink, MSPT
Title
Physical Therapist/Owner
Phone
(605) 343-2555

National Provider Directory

Locations

550 N 5th St
#312
Rapid City, SD 57701
Phone (605) 343-2555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0593 SD Yes

Addresses

Primary practice location

717 Auburn Dr
Rapid City, SD 57701-9584

Mailing address

717 Auburn Dr
Rapid City, SD 57701-9584
Phone (605) 343-2555

Other identifiers

IdentifierTypeStateIssuer
1134286206OtherSDNPI CONNECTED TO MY NAME
5833610MedicaidSD

Other providers in Rapid City, SD

All providers in Rapid City, SD · Home Health Agency in South Dakota

Sources for this page

Verify at the official NPI Registry.