| Fresh Life Llc | |
|
633 E Sioux Ave Ste 5, Pierre, SD 57501-3368 | |
| (605) 222-8724 | |
| Not Available |
| Full Name | Fresh Life Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 633 E Sioux Ave Ste 5, Pierre, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679191092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | John Michael Rounds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609230309 PECOS PAC ID: 4587089206 Enrollment ID: I20200729000303 |
| Provider Name | Chesney Hofer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760057384 PECOS PAC ID: 6002212610 Enrollment ID: I20210908000176 |
| Provider Name | Brett A Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891462941 PECOS PAC ID: 7911305040 Enrollment ID: I20211004003191 |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Life Llc 633 E Sioux Ave Ste 5, Pierre, SD 57501-3368 Ph: (605) 222-8724 | Fresh Life Llc 633 E Sioux Ave Ste 5, Pierre, SD 57501-3368 Ph: (605) 222-8724 |
Mr. Douglas Alan Hackett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1112 E Sully Ave, Pierre, SD 57501 Phone: 605-786-3374 | |
Jamy Ann Jones, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 N Harrison Ave, Suite 2a, Pierre, SD 57501 Phone: 605-224-8415 Fax: 605-224-8457 | |
Carly Jo Schroer Swartz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3162 | |
Amy Weller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3162 | |
Tim Wald, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1012 Woodview Dr #20, Pierre, SD 57501 Phone: 605-224-4443 | |
Dana Lou Dykstra, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 E Park St, Pierre, SD 57501 Phone: 605-224-8628 Fax: 605-224-6948 | |
Ann Shoup, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3162 Fax: 605-224-3426 |