NISSA KVIDT

Physical Therapist

Active Individual
NPI: 1508275090

Practice Address

353 FAIRMONT BLVD
Rapid City, SD 57701

Phone: (605) 755-8230

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 1688 (SD)

Frequently Asked Questions

NPI 1508275090 is the National Provider Identifier for NISSA KVIDT, a Physical Therapist provider located in Rapid City, SD. This NPI was enumerated on August 8, 2014.
NISSA KVIDT practices at 353 FAIRMONT BLVD, Rapid City, SD 57701.

Quick Facts

NPI
1508275090
Type
Individual
Enumerated
Aug 8, 2014
Last Updated
Aug 8, 2014

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