Alyssa Lux
Individual provider Active NPI Physical Therapy Assistant · Canistota, SD
NPI 1922407899 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1922407899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 700 W Main St
Canistota, SD 57012-2012 - Phone
- (605) 961-6095
- NPI assigned
- Aug 17, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0402 | SD | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0402 | SD | |
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
700 W Main St
Canistota, SD 57012-2012
Mailing address
700 W Main St
Canistota, SD 57012-2012
Phone (605) 961-6095
Other names
- Alyssa Lund
Other providers in Canistota, SD
- Amiee L Brown
- Nathan Paul Ligtenberg
- Daniel Michael Novak
- Ortman Clinic
- Charles E Ortman
- Derrick John Ortman
- Ivan J Ortman
All providers in Canistota, SD · Physical Therapy Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.