Provider Demographics
NPI:1053506055
Name:DELANEY, DONNA RAE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:RAE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E KANSAS CITY ST #101
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2971
Mailing Address - Country:US
Mailing Address - Phone:605-348-9530
Mailing Address - Fax:605-737-0874
Practice Address - Street 1:18 E KANSAS CITY ST #101
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2971
Practice Address - Country:US
Practice Address - Phone:605-348-9530
Practice Address - Fax:605-737-0874
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD103225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist