Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL D PESEK, PT, ATC
ActivePhysical Therapy Assistant · WATERTOWN, SD
Registration Details
- NPI Number
- 1710973193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2005 (20.590959241538 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
1269 (SD)6317 (MN)
Practice Information
- Address
-
1705 8TH ST NEWATERTOWN, SD, 572016901Browse SD providers · Browse ZIP 57201
- Phone
- 6057592691
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WATERTOWN, SD
| Name | Credential | NPI |
|---|---|---|
| MR. NATHAN LEE BRESKE | DPT, ATC | 1235135765 |
| CHAD LAVERNE LAUSENG | P.T. | 1336146398 |
| NICCOLE J MACK | D.P.T. | 1063401503 |
| TYANNE L LUKEN | PT | 1477532976 |
| MS. MICHELLE MARIE MCCORMICK | PT | 1972560761 |
| LYNN SIMON | P.T. | 1306871165 |
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.