Joni Bottum, OTD OTR/L

Individual provider Active NPI Occupational Therapist · Sioux Falls, SD

NPI 1467965145 · NPPES record last updated Nov 16, 2017

Key facts

NPI
1467965145
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0979 (SD)
Practice address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone
(605) 322-5000
NPI assigned
Nov 16, 2017
Sex
Female
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
0979SDMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0979 SD Yes

Addresses

Primary practice location

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Mailing address

1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (605) 322-5000

Other names

  • Joni Raisbeck Former name

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Occupational Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.