Provider Demographics
NPI:1972791440
Name:STREFF, JODY KAY (MSPT)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:KAY
Last Name:STREFF
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 NE 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:SD
Mailing Address - Zip Code:57042-1811
Mailing Address - Country:US
Mailing Address - Phone:605-256-4531
Mailing Address - Fax:
Practice Address - Street 1:718 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:SD
Practice Address - Zip Code:57042-1811
Practice Address - Country:US
Practice Address - Phone:605-256-4531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1167225100000X
MN5714225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist