Donna Maria Bossman, P.T.

Individual provider Active NPI Physical Therapist · Fort Meade, SD

NPI 1720188923 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720188923
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0718 (SD)
Practice address
113 Comanche Rd
Ger&R 3
Fort Meade, SD 57741-1002
Phone
(605) 720-7189
NPI assigned
Sep 25, 2006
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

State licenses

LicenseStateTypeSpecialty
0718SDMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0718 SD Yes

Addresses

Primary practice location

113 Comanche Rd
Ger&R 3
Fort Meade, SD 57741-1002

Mailing address

2007 Butte View Dr
Sturgis, SD 57785-1706
Phone (605) 720-2812

Other providers in Fort Meade, SD

All providers in Fort Meade, SD · Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.