Prairie Grit Adaptive Sports
NPI #1417577693 in Minot, North Dakota
Provider Information
- NPI Number
- 1417577693
- Entity Type
- Organization
- Organization Name
- Prairie Grit Adaptive Sports
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 17, 2020
- Last Updated
- Apr 17, 2020
Practice Location
- Address
- 3515 16TH ST SW
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-7225
- Phone
- (208) 949-3315
Authorized Official
- Name
- KRYSTAL RENE' BUTGEREIT, MOT, OTR/L
- Title
- EXECUTIVE DIRECTOR
- Phone
- (208) 949-3315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Clinic/Center |
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