Rickertsen Therapy Center | |
1150 W Shore Dr Sw Hutchinson MN 55350-6740 | |
(763) 245-1970 | |
Not Available |
Full Name | Rickertsen Therapy Center |
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Speciality | Clinic/Center |
Location | 1150 W Shore Dr Sw, Hutchinson, Minnesota |
Authorized Official Name and Position | Sandra Lynn Rickertsen (CEO & MARRIAGE FAMILY THERAPIST) |
Authorized Official Contact | 7632451970 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rickertsen Therapy Center 1150 W Shore Dr Sw Hutchinson MN 55350-6740 Ph: (763) 245-1970 | Rickertsen Therapy Center 1150 W Shore Dr Sw Hutchinson MN 55350-6740 Ph: (763) 245-1970 |
NPI Number | 1376362251 |
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Provider Enumeration Date | 10/07/2024 |
Last Update Date | 10/07/2024 |
Certification Date | 10/07/2024 |
Medicare PECOS PAC ID | 0547795007 |
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Medicare Enrollment ID | O20241121001784 |
Identifier | Type | State | Issuer |
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1376362251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Sandra Lynn Rickertsen |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1295975225 PECOS PAC ID: 2365977824 Enrollment ID: I20241121001946 |
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