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BRANDEE KOEDAM DPT, NPI 1023010154

Physical Therapist in DAKOTA DUNES, SD

Last Updated on : Jul 08,2007

About BRANDEE KOEDAM (NPI 1023010154)


BRANDEE KOEDAM is a Physical Therapist provider in DAKOTA DUNES, United States. Her medical specialization is Physical Therapist .

1023010154 is NPI number of BRANDEE KOEDAM.

BRANDEE KOEDAM's primary taxonomy code based on NPI Lookup is 225100000X with license number 1263. This taxonomy code refers to Physical Therapist.

BRANDEE KOEDAM has more than 16 years of experience.

BRANDEE KOEDAM current practice location address is 575 N SIOUX POINT RD, DAKOTA DUNES, SD. BRANDEE KOEDAM can be reached out via phone at 605-217-2615 and via fax at 605-217-2915 .

You can also correspond with BRANDEE KOEDAM through mail at mailing address 575 N SIOUX POINT RD, DAKOTA DUNES, SD, United States. Mailing address contact number is 605-217-2615.

The enumeration date of BRANDEE KOEDAM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1023010154 NPI Information

Name BRANDEE KOEDAM
National Provider Id (NPI) 1023010154
Entity Type Individual
Gender F
Credential DPT
Practice Address 575 N SIOUX POINT RD,
DAKOTA DUNES, SD, United States
Practice Telephone 605-217-2615
Practice Fax Number 605-217-2915
Mailing Address 575 N SIOUX POINT RD ,
DAKOTA DUNES, SD, United States
Mailing Telephone 605-217-2615
Mailing Fax Number 605-217-2915
Enumeration Date 01-Jun-2005
Last Updated Date 08-Jul-2007

BRANDEE KOEDAM (NPI 1023010154) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 225100000X Physical Therapist 1263 SD

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
41939 MEDICARE ID-Type Unspecified (04) SD

BRANDEE KOEDAM (NPI 1023010154) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1225332463 MOLLY E SCHOOLEY Physician Assistant, Medical 705 N SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD, United States
03-Jan-2011
1780988600 SARAH M BREND Physician Assistant, Medical 455 N SIOUX POINT RD,
DAKOTA DUNES, SD, United States
06-Jan-2011
1851052245 JESSICA JOHNSON Behavior Analyst 633 HAWK CIR,
DAKOTA DUNES, SD, United States
06-Jan-2022
1073661187 THOMAS GEORGE PRATT Optometrist 101 TOWER RD, SUITE 300
DAKOTA DUNES, SD, United States
08-Jan-2007
1265582712 BENJAMIN T. BISSELL Orthopaedic Surgery 575 SIOUX POINT ROAD,
DAKOTA DUNES, SD, United States
10-Jan-2007
1154710077 DANIEL AUSTIN MOORE Physician Assistant 801 5TH ST,
SIOUX CITY, IA, United States
15-Jan-2015
1952381899 NATHAN ALEXANDER PHILLIPS Dentist, Oral and Maxillofacial Surgery 301 OAK TREE LN,
DAKOTA DUNES, SD, United States
18-Jan-2006
1265402507 MICHAEL G BARGSTADT Physical Medicine & Rehabilitation PO BOX 1533,
SIOUX CITY, IA, United States
26-Jan-2006
1780915215 BERNARD WILLIAM MANLEY Nurse Anesthetist, Certified Registered 7261 MERCY RD,
OMAHA, NE, United States
22-Jan-2010
1548627375 KELLIE CROWL Nurse Practitioner, Family 575 N SIOUX POINT RD,
DAKOTA DUNES, SD, United States
25-Jan-2016
1932522927 BRIAN KNAKE Specialist/Technologist, Other, Electroneurodiagnostic 250 COURTYARD DR, #303
DAKOTA DUNES, SD, United States
27-Jan-2014
1558014811 DARREN GREGORY STOUB Physician Assistant, Surgical 575 N SIOUX POINT RD,
DAKOTA DUNES, SD, United States
27-Jan-2022
1598188252 HANGER PROSTHETICS & ORTHOTICS EAST INC Prosthetic/Orthotic Supplier 330 DAKOTA DUNES BLVD STE 100,
DAKOTA DUNES, SD, United States
30-Jan-2014
1356589030 KATHRYN THERESE KASSIN Physician Assistant 455 N SIOUX POINT RD,
DAKOTA DUNES, SD, United States
03-Feb-2009
1396717229 KEVIN L. PRESTON Internal Medicine, Gastroenterology 101 TOWER ROAD, SUITE 100
DAKOTA DUNES, SD, United States
04-Feb-2006
1184216889 DUNES ANESTHESIA PC Durable Medical Equipment & Medical Supplies 101 TOWER RD STE 103,
DAKOTA DUNES, SD, United States
04-Feb-2021
1316186919 TIFFANY LYNN MCKINLEY Physical Therapy Assistant 575 N SIOUX POINT RD,
DAKOTA DUNES, SD, United States
05-Feb-2009
1518299049 AMBER LONSDALE Marriage & Family Therapist 370 W ANCHOR DR, SUITE 218
DAKOTA DUNES, SD, United States
09-Feb-2010
1619416526 AMELIA JO KLIMISCH Nurse Practitioner, Family 725 N 2ND ST,
CHEROKEE, IA, United States
13-Feb-2017
1104890888 WILLIAM R BLANKENSHIP Internal Medicine, Endocrinology, Diabetes & Metabolism 705 SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD, United States
17-Feb-2006

FAQs

Whose NPI Number is 1023010154?

1023010154 is the NPI number of BRANDEE KOEDAM.

What is the specialty for BRANDEE KOEDAM?

The Specialty of BRANDEE KOEDAM is Physical Therapist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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