SearchSouth Dakota225100000X

Travis Bolstad, DPT

NPI 1194325712 · on the registry since 2020

Practice

Address
400 22nd Ave
Brookings, SD 57006
Phone
(605) 697-7336
Organisation at this address
Avera Mckennan
Avera Mckennan
City Of Brookings
Rural Health Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
IA, SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota