IndividualActive
Alfredo Jaquez, PTA
NPI 1780450452 · Physical Therapy Assistant · Dakota Dunes, SD
Provider details
- NPI number
- 1780450452
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2036 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
370 W Anchor Dr Ste 214
Dakota Dunes, SD 57049-5153
Phone: (605) 360-4697
Approximate (ZIP-level) locationGet directions
Mailing address
321 E 34th St
South Sioux City, NE 68776-3532
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.