| Phenomenal Rehabilitation | |
|
1116 6th Street, Howard Lake, MN 55349 | |
| (320) 543-1104 | |
| (320) 543-1105 |
| Full Name | Phenomenal Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1116 6th Street, Howard Lake, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821428509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9517 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phenomenal Rehabilitation Po Box 737, Howard Lake, MN 55349-0737 Ph: (320) 543-1104 | Phenomenal Rehabilitation 1116 6th Street, Howard Lake, MN 55349 Ph: (320) 543-1104 |
Chad Morlock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1116 6th Street, Howard Lake, MN 55349 Phone: 320-543-1104 Fax: 320-543-1105 | |
Craig Butturff, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1116 Sixth Street, Howard Lake, MN 55349 Phone: 320-543-1104 | |
Ellen Gallagher, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1116 6th St, Howard Lake, MN 55349 Phone: 320-543-1104 | |
Kelly Bonde, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1116 6th St, Howard Lake, MN 55349 Phone: 320-543-1104 | |
Miranda Lynn Erichsen Pommier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1116 6th St, Howard Lake, MN 55349 Phone: 320-543-1104 |