Nathan A Moldestad, PT | |
200 8th Ave Nw, Suite 4, Faribault, MN 55021-5068 | |
(507) 334-5627 | |
(507) 334-1824 |
Full Name | Nathan A Moldestad |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 200 8th Ave Nw, Faribault, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174726632 | NPI | - | NPPES |
230D7MO | Other | MN | MN BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7907 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Back In Action Rehab Llp | 3678463098 | 2 |
Provider Name | Back In Action Rehab Llp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699848143 PECOS PAC ID: 3678463098 Enrollment ID: O20040318001197 |
Mailing Address | Practice Location Address |
---|---|
Nathan A Moldestad, PT 200 8th Ave Nw, Suite 4, Faribault, MN 55021-5068 Ph: (507) 334-5627 | Nathan A Moldestad, PT 200 8th Ave Nw, Suite 4, Faribault, MN 55021-5068 Ph: (507) 334-5627 |
Sarah Ann Jentink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-332-4790 | |
Dr. Liana Blomgren, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Maria Bohl, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Mrs. Amy Renee Willingham, PHYSICALTHERAPISTMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 17th St Nw, Faribault, MN 55021 Phone: 507-332-2204 Fax: 507-332-2270 | |
Jason Niemann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 | |
Kelly Kitzman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1520 17th St Nw, Faribault, MN 55021 Phone: 218-205-0190 |