Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill Blickensderfer, MTASCP

Individual provider Pathology Specialist/Technologist · NPI 1659157774

Jill Blickensderfer, MTASCP is a Pathology Specialist/Technologist in Rapid City, South Dakota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone: (605) 355-2500
Fax: (605) 355-2514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pathology Specialist/Technologist (primary) Taxonomy 246Q00000X

Record details

NPI number1659157774
Entity typeIndividual (Type 1)
GenderFemale
Credentials MTASCP
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address3200 Canyon Lake Dr, Rapid City, SD 57702-8114