Provider Demographics
NPI:1710872254
Name:STEWART, AMI MARGARET
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:MARGARET
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:SD
Mailing Address - Zip Code:57427-2000
Mailing Address - Country:US
Mailing Address - Phone:763-442-9058
Mailing Address - Fax:
Practice Address - Street 1:408 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4127
Practice Address - Country:US
Practice Address - Phone:763-442-9058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDMT12154225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist