Provider Demographics
NPI:1578019436
Name:POEHLS, CAREY (PT, DPT,OCS)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:
Last Name:POEHLS
Suffix:
Gender:F
Credentials:PT, DPT,OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-4661
Mailing Address - Country:US
Mailing Address - Phone:605-716-6474
Mailing Address - Fax:
Practice Address - Street 1:2001 7TH ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4661
Practice Address - Country:US
Practice Address - Phone:605-716-6474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1916225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist