Sundog Rehabilitation Llc

LBN: Sundog Rehabilitation Llc
Sundog Rehabilitation Llc is an health care organization with primary practice located at 3064 Covington St Suite 104, Rapid City SD 57703-7207. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Sundog Rehabilitation Llc can be contacted via phone (605) 787-2719, or through Pettyjohn, Sarah via phone (605) 787-2719.

Contact Information

Primary practice address
3064 Covington St Suite 104 Rapid City SD 57703-7207
Phone: (605) 787-2719
Fax: (605) 718-4452
Website:
Map and Directions
Authorized official contact:
Name: Pettyjohn, Sarah DPT
Phone: (605) 787-2719

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 1487 South Dakota

Profile Details

NPI number 1285925453
LBN Legal business name Sundog Rehabilitation Llc
DBA Doing business as
Authorized official Pettyjohn, Sarah DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2011
Last updated Nov 25th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285925453 NPPES
Other S105011 MEDICARE PTAN

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