Travis Bolstad, DPT

NPI #1194325712 in Brookings, South Dakota

Provider Information

NPI Number: 1194325712
Entity Type: Individual
Name: Travis Bolstad, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 1, 2020
Last Updated: Nov 1, 2020

Practice Location

Address: 400 22ND AVE
City: Brookings
State: South Dakota
ZIP Code: 57006-2450
Phone: (605) 697-7336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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