Provider Demographics
NPI:1043969017
Name:DAKOTA GRIT PLLC
Entity type:Organization
Organization Name:DAKOTA GRIT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CLANCEY
Authorized Official - Last Name:WHITCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-791-2350
Mailing Address - Street 1:2255 HAINES AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-0411
Mailing Address - Country:US
Mailing Address - Phone:605-791-2350
Mailing Address - Fax:
Practice Address - Street 1:2255 HAINES AVE STE 200
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-0411
Practice Address - Country:US
Practice Address - Phone:605-441-0616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty