IndividualActive
Melissa Jorgenson, PTA
NPI 1376737585 · Physical Therapy Assistant · Ipswich, SD
Provider details
- NPI number
- 1376737585
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0232 (SD)
Mailing address
617 Bloemendaal Dr
Ipswich, SD 57451-2019
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2007-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.