Ms Teresa L Backus, PT | |
1204 Cloquet Ave, Cloquet, MN 55720-1622 | |
(218) 878-0805 | |
Not Available |
Full Name | Ms Teresa L Backus |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1204 Cloquet Ave, Cloquet, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669430625 | NPI | - | NPPES |
P00404700 | Other | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4579 (Minnesota) | Primary |
Provider Name | Fond Du Lac Reservation Business Committee |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326053166 PECOS PAC ID: 6608775879 Enrollment ID: O20040107000308 |
Mailing Address | Practice Location Address |
---|---|
Ms Teresa L Backus, PT 425 7th St, Cloquet, MN 55720-2020 Ph: (218) 879-1705 | Ms Teresa L Backus, PT 1204 Cloquet Ave, Cloquet, MN 55720-1622 Ph: (218) 878-0805 |
Joseph Urban Quade, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 | |
Stephanie Ann Elling, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 | |
Amanda Marie Dornhecker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 | |
Danielle Prom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Horizon Cir, Cloquet, MN 55720 Phone: 218-879-6956 | |
Kathryn Dorothy Roufs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 | |
Kelly Lynn Burgner, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 | |
Park Avenue Therapies Physical Therapist Medicare: Medicare Enrolled Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 |