Ruth E Rotert, PT, DPT

Individual provider Active NPI Pediatric Physical Therapist · Salem, SD

NPI 1679740609 · NPPES record last updated May 8, 2008

Key facts

NPI
1679740609
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
0119 (SD)
Practice address
25523 442ND Ave
Salem, SD 57058-5519
Phone
(605) 425-2582
Fax
(605) 425-2582
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 0119 SD Yes

Addresses

Primary practice location

25523 442ND Ave
Salem, SD 57058-5519

Mailing address

25523 442ND Ave
Salem, SD 57058-5519
Phone (605) 425-2582

Other providers in Salem, SD

All providers in Salem, SD · Pediatric Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.