Chris D Forred, PT

Individual provider Active NPI Geriatric Physical Therapist · Groton, SD

NPI 1265624951 · NPPES record last updated Aug 17, 2007

Key facts

NPI
1265624951
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Physical Therapist 2251G0304X
License
1121 (SD)
Practice address
1106 N 2ND St
Groton, SD 57445-2172
Phone
(605) 397-2365
NPI assigned
Aug 16, 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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1121 SD Yes

Addresses

Primary practice location

1106 N 2ND St
Groton, SD 57445-2172

Mailing address

1106 N 2ND St
Groton, SD 57445-2172

Other providers in Groton, SD

All providers in Groton, SD · Geriatric Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.