Provider Demographics
NPI:1629402474
Name:TAO, HAN-ZHI (DPT)
Entity Type:Individual
Prefix:DR
First Name:HAN-ZHI
Middle Name:
Last Name:TAO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:HANZ
Other - Middle Name:
Other - Last Name:TAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:300 S MICKELSON AVE
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-3482
Mailing Address - Country:US
Mailing Address - Phone:605-658-6368
Mailing Address - Fax:
Practice Address - Street 1:300 S MICKELSON AVE
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069
Practice Address - Country:US
Practice Address - Phone:605-658-6368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60346225100000X, 2251S0007X, 2251X0800X
WI12998225100000X
SD19362251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic