| Jennifer E Elholm, PT | |
|
490 Highway 96 W, Suite 300, Shoreview, MN 55126-1960 | |
| (651) 451-3016 | |
| Not Available |
| Full Name | Jennifer E Elholm |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 490 Highway 96 W, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750406856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4922 (Minnesota) | Primary |
| Provider Name | Kids Abilities, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154455616 PECOS PAC ID: 2264749993 Enrollment ID: O20220711000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer E Elholm, PT 6600 Tele Ln, Lino Lakes, MN 55038-7720 Ph: (651) 208-8756 | Jennifer E Elholm, PT 490 Highway 96 W, Suite 300, Shoreview, MN 55126-1960 Ph: (651) 451-3016 |
Renee Lynn Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 | |
Carol Gilligan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Karla Schneider, Physical Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Mr. Rodney Shawn Koehn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 Fax: 651-241-1456 | |
Caroline Moran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W Ste C, Shoreview, MN 55126 Phone: 651-275-4706 Fax: 651-765-4108 | |
Theresa Plasencia Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1030 County Road E W, Suite 240, Shoreview, MN 55126 Phone: 651-493-0626 Fax: 651-493-8463 | |
Kelly Lynne Roberts, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4625 Churchill St, Motioncare Shoreview Medical Center Suite 204, Shoreview, MN 55126 Phone: 651-484-6735 |