Depth Therapy Services, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
DEPTH THERAPY SERVICES, LLC	1629720859	2022-02-05

The organization Depth Therapy Services, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1629720859. Registration indicates Depth Therapy Services, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity Type	Organization

Provider Organization	DEPTH THERAPY SERVICES, LLC
Practice Office Address	2116 S MINNESOTA AVE STE 2C SIOUX FALLS, SD US
Practice Office Telephone	6056003097
Mailing Address	2116 S MINNESOTA AVE STE 2C SIOUX FALLS, SD 571053750 US
Business Telephone	6052713577
Authorized Official	JESSICA RAE KAISER, OWNER 6052713577

HPT Codes

Code	Practice	License No State
261QM0801X PRIMARY	Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Mental Health (Including Community Mental Health Center), Community Mental Health Center Clinic/Center Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities Clinic/Center

OPI Codes

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