Individual provider · Type 1 NPI

Mikaela Theobald, PA-C

Physician Assistant · Rapid City, SD

NPI number 1124627898 Active

Practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Call (605) 755-1000 Map

Other practice locations

  • 353 Fairmont Blvd, Rapid City, SD 57701-7375 · (605) 755-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124627898

Mikaela Theobald, PA-C's National Provider Identifier is 1124627898, issued on Oct 22, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rapid City, SD. The record was last updated on Jun 29, 2023.