IndividualActive
Melissa Moore, PTA
NPI 1801191655 · Physical Therapy Assistant · Rapid City, SD
Provider details
- NPI number
- 1801191655
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 0312 (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1110 W Omaha St
Ste. #3
Rapid City, SD 57701-8120
Phone: (605) 721-5950
Fax: (605) 721-5940
Approximate (ZIP-level) locationGet directions
Mailing address
1110 W Omaha St
Rapid City, SD 57701-8120
Registry dates
- Enumerated
- 2011-01-25
- Last updated
- 2011-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.