GRANT BOLTJES (NPI# 1598111346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598111346 |
Entity Type | Individual |
Full Name | GRANT BOLTJES |
Credential | PT |
Practice Address |
3513 S Harmony Dr Sioux Falls SD 57110-6032 |
Practice Telephone | 6053710432 |
Mailing Telephone | 6053710432 |
Enumeration Date | 2016-05-11 |
Last Update Date | 2016-05-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1072 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3513 S HARMONY DR |
City | SIOUX FALLS |
State | SD |
Zip Code | 57110-6032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831661438 | Lisa Jo Nafziger | Social Worker | 3216 E 10th St, Sioux Falls, SD 57110 | 2018-12-19 |
1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
1467517011 | Chad Jerome Hanson | Physical Therapist | 1914 S Sycamore Ave, Suite 108, Sioux Falls, SD 57110 | 2006-12-26 |
1407834419 | Lanpher Chiropractic | Chiropractor | 506 N Sycamore Ave, Sioux Falls, SD 57110 | 2006-01-09 |
1427605021 | Nicole Lindy Rasmussen | Pharmacist | Walgreens Pharmacy, 1720 South Sycamore Ave, Sioux Falls, SD 57110 | 2019-08-20 |
1285672246 | John Wesley Joseph Sivesind | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-06-03 |
1487133047 | Stephanie Preheim | Pharmacist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2018-08-14 |
1124109194 | Wal-mart Stores, Inc. | Technician/Technologist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-18 |
1407949753 | Dr. John W Sivesind, O.d., P.C. | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-01 |
1669499836 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-07-16 |
Find all providers in zip 57110 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477003713 | Joy Shafer-powers | Physical Therapist | 4501 S Holbrook Ave # Abe, Sioux Falls, SD 57106-1926 | 2016-10-11 |
1114179751 | Lorelei Jo Thompson | Physical Therapist | 3239 S Grace Ave, Sioux Falls, SD 57103-7245 | 2008-10-14 |
1659824936 | Jolene Gordon | Physical Therapist | 201 E 38th St, Sioux Falls, SD 57105-5815 | 2016-08-03 |
1073966412 | Jill Marie Joyce-hazard | Physical Therapist | 201 E 38th St, Sioux Falls, SD 57105-5815 | 2016-07-21 |
1053699769 | Amanda Christine Jacobsma | Physical Therapist | 201 E 38th St, Sioux Falls, SD 57105 | 2011-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962912279 | Milestones Therapy, LLC | Physical Therapist | 109 Tootys Ave, Yankton, SD 57078-4724 | 2017-10-02 |
1649706607 | Alyssa Shay Pfeifle | Physical Therapist | 26788 485th Ave, Valley Springs, SD 57068 | 2017-05-11 |
1902354871 | Stacie Kellogg | Physical Therapist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2016-09-20 |
1568853810 | Jenna Mcneely | Physical Therapist | 2040 W Main St Ste 212, Rapid City, SD 57702-2446 | 2015-02-09 |
1821242967 | Mike E Joebgen | Physical Therapist | 5884 Legacy Ln, Rapid City, SD 57703-6763 | 2008-11-14 |
1124271044 | Krista Glanz Minor | Physical Therapist | 808 Summit St, Belle Fourche, SD 57717-2220 | 2008-10-23 |
1023269859 | Kristi K Krouse | Physical Therapist | 25341 448th Ave, Montrose, SD 57048-5617 | 2008-10-10 |
1679740609 | Ruth E Rotert | Physical Therapist | 25523 442nd Ave, Salem, SD 57058-5519 | 2008-05-08 |
1134286206 | Kimberly Jean Brink | Physical Therapist | 407 W Elm St, Beresford, SD 57004-2150 | 2007-01-01 |
1487103602 | Thomas Kellar | Physical Therapist | 21 Saint Joseph St, Rapid City, SD 57701 | 2016-09-29 |
Find all providers with the same taxonomy |
City | SIOUX FALLS |
Zip Code | 57110 |
Please comment or provide details below to improve the information on GRANT BOLTJES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.