| Nichole Marie Fairbanks, | |
|
2501 Rice Lake Rd, Duluth, MN 55811-4819 | |
| (218) 625-6400 | |
| (218) 625-6452 |
| Full Name | Nichole Marie Fairbanks |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2501 Rice Lake Rd, Duluth, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760889778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9006 (Minnesota) | Primary |
| 225100000X | Physical Therapist | 12904 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Marie Fairbanks, 804 Hamilton Dr, Duluth, MN 55811-5924 Ph: () - | Nichole Marie Fairbanks, 2501 Rice Lake Rd, Duluth, MN 55811-4819 Ph: (218) 625-6400 |
Michael A Reuter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4000 | |
Hannah Johnson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4316 Rice Lake Rd Ste 107, Duluth, MN 55811 Phone: 218-727-1180 | |
Mary Frances Hunt Sloan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Maria Anne Jacenko, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Maple Grove Rd, Duluth, MN 55811 Phone: 218-724-4900 | |
Kyle Walter Freundschuh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360 | |
Ms. Laura Kendall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Miller Trunk Hwy Bldg C, Duluth, MN 55811 Phone: 218-786-5360 Fax: 701-222-3186 | |
Alan David Hagen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 |