Provider Demographics
NPI:1841855541
Name:FROELICH, BOBBI JO (PT, DPT)
Entity type:Individual
Prefix:
First Name:BOBBI
Middle Name:JO
Last Name:FROELICH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:JO
Other - Last Name:BEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:507 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:LEMMON
Mailing Address - State:SD
Mailing Address - Zip Code:57638
Mailing Address - Country:US
Mailing Address - Phone:701-214-8990
Mailing Address - Fax:
Practice Address - Street 1:601 MAIN AVE
Practice Address - Street 2:
Practice Address - City:LEMMON
Practice Address - State:SD
Practice Address - Zip Code:57638-1834
Practice Address - Country:US
Practice Address - Phone:605-374-5844
Practice Address - Fax:605-374-9524
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2256225100000X
SD2123225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist