Health Intended | |
1054 Elizabeth St, Hawley, MN 56549-4443 | |
(218) 329-6270 | |
Not Available |
Full Name | Health Intended |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1054 Elizabeth St, Hawley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114539590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kerry Jo Petsinger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407018922 PECOS PAC ID: 2668549130 Enrollment ID: I20080925000043 |
Mailing Address | Practice Location Address |
---|---|
Health Intended 1054 Elizabeth St, Hawley, MN 56549-4443 Ph: (218) 329-6270 | Health Intended 1054 Elizabeth St, Hawley, MN 56549-4443 Ph: (218) 329-6270 |
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