Nevin John Andreas, OT

Individual provider Active NPI Occupational Therapist · Milbank, SD

NPI 1316558331 · NPPES record last updated Aug 13, 2020

Key facts

NPI
1316558331
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1178 (SD)
Practice address
301 Flynn Dr Ste 3
Milbank, SD 57252-1509
Phone
(605) 432-3173
NPI assigned
Aug 13, 2020
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

LicenseStateTypeSpecialty
1178SDMDPhysical Therapist
0564SDMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0564 SD
Occupational Therapist 225X00000X 106299 MN
Occupational Therapist 225X00000X 1178 SD Yes

Addresses

Primary practice location

301 Flynn Dr Ste 3
Milbank, SD 57252-1509

Mailing address

301 Flynn Dr Ste 3
Milbank, SD 57252-1509
Phone (605) 432-3173

Other providers in Milbank, SD

All providers in Milbank, SD · Occupational Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.