Mr Nicholas Henry Thell, PT | |
211 S Boundary Ave, Proctor, MN 55810-2306 | |
(218) 576-0200 | |
Not Available |
Full Name | Mr Nicholas Henry Thell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 211 S Boundary Ave, Proctor, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467028845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15333 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 11848 (Minnesota) | Primary |
Provider Name | Park Nicollet Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Provider Name | Tria Orthopaedic Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Henry Thell, PT 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Mr Nicholas Henry Thell, PT 211 S Boundary Ave, Proctor, MN 55810-2306 Ph: (218) 576-0200 |
Patricia Jo Batdorf, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-624-4819 Fax: 218-628-1191 | |
Kelly A Geraghty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-576-0200 | |
Mr. Todd C Perry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 S Boundary Ave, Essentia Health Proctor Clinic, Proctor, MN 55810 Phone: 218-576-0200 |