Provider Demographics
NPI:1427497718
Name:O'BRIEN, BRITTANY CHERI (DPT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHERI
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3064 COVINGTON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-7208
Mailing Address - Country:US
Mailing Address - Phone:307-660-4419
Mailing Address - Fax:
Practice Address - Street 1:3064 COVINGTON ST STE 104
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-7208
Practice Address - Country:US
Practice Address - Phone:605-787-2719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD2022225100000X
SD1599225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist