Provider Demographics
NPI:1235443458
Name:BENTLEY, MARGARET D (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:D
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:D
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2995 OBRIEN ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-6467
Mailing Address - Country:US
Mailing Address - Phone:815-703-9449
Mailing Address - Fax:
Practice Address - Street 1:1774 CENTRE ST
Practice Address - Street 2:STE 1
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-4029
Practice Address - Country:US
Practice Address - Phone:605-716-2634
Practice Address - Fax:605-716-2639
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11582-24225100000X
SD1580225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist