| Diana Lyn Risty, OTR/L | |
|
1002 N Jay St, Aberdeen, SD 57401-2439 | |
| (605) 622-5850 | |
| Not Available |
| Full Name | Diana Lyn Risty |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1002 N Jay St, Aberdeen, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912248857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0847 (South Dakota) | Primary |
| Provider Name | Avera St Lukes |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215100813 PECOS PAC ID: 6406764927 Enrollment ID: O20040120000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Lyn Risty, OTR/L 12161 386th Ave, Westport, SD 57481-6915 Ph: (605) 216-7170 | Diana Lyn Risty, OTR/L 1002 N Jay St, Aberdeen, SD 57401-2439 Ph: (605) 622-5850 |
Heather L Thorson, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Mrs. Sarah Rae Viola, MA, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 707 Taylor Dr, Aberdeen, SD 57401 Phone: 701-830-0390 | |
David Rasmusson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Sunny Lester, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 618 Kettering Dr, Aberdeen, SD 57401 Phone: 605-225-7044 | |
Shauna Larson, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 S Kline St, Aberdeen, SD 57401 Phone: 605-228-5454 | |
Christa M Weber, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 1st Ave Se, Aberdeen, SD 57401 Phone: 605-622-5878 Fax: 605-622-5888 | |
Dalita L Meyer, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 |