Individual provider · Type 1 NPI

Stacie Kellogg, MPT

Pediatric Physical Therapist · Rapid City, SD

NPI number 1902354871 Active

Practice location

21 Saint Joseph St
Rapid City, SD 57701-2822

Call (605) 394-1813 Map

Fax (605) 394-6766

Mailing address

300 6th St
Rapid City, SD 57701-5034

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1168 (SD)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1902354871

Stacie Kellogg, MPT's National Provider Identifier is 1902354871, issued on Sep 20, 2016. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Rapid City, SD. The record was last updated on Sep 20, 2016.