Branden Schultz
Individual provider Active NPI Physical Therapy Assistant · Big Stone City, SD
NPI 1215499355 · NPPES record last updated Apr 5, 2019
Key facts
- NPI
- 1215499355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A203 (MN)
- Practice address
- 500 Cross St
Big Stone City, SD 57216-8237 - Phone
- (605) 541-1140
- NPI assigned
- Apr 5, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A203 | MN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0466 | SD | |
| Physical Therapy Assistant | 225200000X | A203 | MN | Yes |
Addresses
Primary practice location
500 Cross St
Big Stone City, SD 57216-8237
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Other providers in Big Stone City, SD
- Lincare Inc.
- Lacey Moser
- Kali R Pillatzki
- Abbey Richter
- Courtney Rittenour
- Meagan Leann Shroll
- Cheryl Soltis
- Angie Thorfinnson
- Wade Vandover
All providers in Big Stone City, SD · Physical Therapy Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.