Provider Demographics
NPI:1558246132
Name:DUFFEK, EMILY ROSE (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:DUFFEK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 W VISION DR UNIT 5304-01
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57107-0484
Mailing Address - Country:US
Mailing Address - Phone:605-661-1435
Mailing Address - Fax:
Practice Address - Street 1:511 S NEBRASKA ST, SALEM, SD 57058
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:SD
Practice Address - Zip Code:57058
Practice Address - Country:US
Practice Address - Phone:844-425-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist