Briana Stahl, OTR/L

Individual provider Active NPI Occupational Therapist · Menno, SD

NPI 1750995148 · NPPES record last updated Sep 2, 2020

Key facts

NPI
1750995148
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1183 (SD)
Practice address
402 S Pine St
Menno, SD 57045-2163
Phone
(605) 231-2490
NPI assigned
Sep 2, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1183 SD Yes

Addresses

Primary practice location

402 S Pine St
Menno, SD 57045-2163

Mailing address

43539 282ND St
Freeman, SD 57029-6726

Other providers in Menno, SD

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

Sources for this page

Verify at the official NPI Registry.