Ellie Jean Feldhaus
Occupational Therapy Assistant in Clark, SD. Individual provider (NPI-1).
NPI number1093689366
StatusActive
Last updated in NPPESOct 1, 2025
Details
- NPI
- 1093689366
- Entity type
- Individual (NPI-1)
- Name
- Ellie Jean Feldhaus
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2025
- Certification date
- Oct 1, 2025
- Last updated
- Oct 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | SD | Yes |
Practice location
201 8th Ave NwClark, SD 57225-1147
Phone 605-532-3431
Mailing address
15 1st St Nw Apt 209Watertown, SD 57201-3875
Phone 605-824-4724
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