Caitlin Cavanaugh, DPT | |
425 7th St Nw, Cass Lake, MN 56633-3360 | |
(218) 335-3200 | |
(218) 335-3327 |
Full Name | Caitlin Cavanaugh |
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Gender | Female |
Speciality | Physical Therapist |
Location | 425 7th St Nw, Cass Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124411582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P15492 (North Carolina) | Primary |
Provider Name | Activcare Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
Mailing Address | Practice Location Address |
---|---|
Caitlin Cavanaugh, DPT 2309 Birchmont Dr Ne, Bemidji, MN 56601-2325 Ph: (218) 335-3200 | Caitlin Cavanaugh, DPT 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3200 |
Paul Robert Schaefer, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3300 | |
Suzanne Sherry, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3239 | |
Alissa Massie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 |