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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WADE VANDOVER, P.T.

Active

WADE VANDOVER, P.T. is a Physical Therapy Assistant healthcare provider located in BIG STONE CITY, South Dakota. NPI 1174550446 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BIG STONE CITY, SD

Registration Details

NPI Number
1174550446
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2006 (20.102804169925 yrs)
Last Updated
Apr 28, 2022
Licenses
0383 (SD)
4675 (MN)

Practice Information

Address
500 CROSS ST
BIG STONE CITY, SD, 572168237
Browse SD providers · Browse ZIP 57216
Phone
6055411115
Fax
6055410109
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BIG STONE CITY, SD

Name Credential NPI
JOHN M BATES 1477112662
COREY GORDON ABBAS PT 1134777113
JENNA BEHNKEN PT 1578165965
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.