IndividualActive
Jacob Puckett
NPI 1114659067 · Case Manager/Care Coordinator · Rapid City, SD
Provider details
- NPI number
- 1114659067
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
111 North St
Rapid City, SD 57701-1163
Phone: (605) 343-0650
Approximate (ZIP-level) locationGet directions
Mailing address
350 Elk St
Rapid City, SD 57701-7351
Registry dates
- Enumerated
- 2022-06-29
- Last updated
- 2022-06-29
- Certified
- 2022-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.