Prairie Rehabilitation Services, Inc

Organization Active NPI Physical Therapist · Jackson, MN

NPI 1386358141 · NPPES record last updated Jan 6, 2023

Key facts

NPI
1386358141
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
PRAIRIE REHABILITATION SERVICES, INC
Practice address
816 3Rd St
Jackson, MN 56143-1746
Phone
(507) 847-4333
Fax
(507) 847-4974
NPI assigned
Jan 6, 2023
Organization subpart
Yes
Parent organization (as reported)
PRAIRIE REHABILITATION SERVICES, INC

Authorized official

Name
Lee S Glasoe
Title
Administrator
Phone
(605) 334-5630

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Prairie Rehabilitation Services Inc (23 organizations share this tax ID)
Part of
Prairie Rehabilitation Services Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

816 3Rd St
Jackson, MN 56143-1746

Mailing address

1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 339-0729

Other providers in Jackson, MN

All providers in Jackson, MN · Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.