Michael R Noonan, PT, DPT | |
106 5th St S, Walker, MN 56484-1123 | |
(218) 547-1900 | |
(218) 547-3913 |
Full Name | Michael R Noonan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 106 5th St S, Walker, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790886901 | NPI | - | NPPES |
1786 | Other | AZ | PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1786 (Arizona) | Primary |
Provider Name | Mike Noonan Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457461360 PECOS PAC ID: 0244222750 Enrollment ID: O20040402000112 |
Mailing Address | Practice Location Address |
---|---|
Michael R Noonan, PT, DPT Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Michael R Noonan, PT, DPT 106 5th St S, Walker, MN 56484-1123 Ph: (218) 547-1900 |
Mrs. Teresa Marie Watson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 5th St S, Walker, MN 56484 Phone: 218-547-1900 Fax: 218-547-3913 | |
Mrs. Alyssa Sharon Robley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Fifth St S, Walker, MN 56484 Phone: 218-547-1900 | |
David Farder, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 5th St S, Walker, MN 56484 Phone: 218-333-5899 | |
Lyndsay Alyssa Grand, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 614 Michigan Ave W, Walker, MN 56484 Phone: 218-547-1099 |