Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC.
Active
Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWN MARIE KRAUSE-ROBERTS MPT (PHYSICAL THERAPIST, PRESIDENT)
(218) 641-7725
Entity
Organization
Contact information
Practice address
112 5TH ST SW, HANKINSON, ND 58041-4417
(701) 242-7323
(701) 242-7797
Mailing address
430 5TH ST N, BRECKENRIDGE, MN 56520-1426
(218) 641-7725
(218) 641-6625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1180
ND
225100000X
Physical Therapist
6521
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03N04OR
MN BCBS
MN
01
—
26722
ND BCBS
ND
05
—
54541
—
ND
01
—
64-06755
MEDICA
MN
01
—
DD3739
RAILROAD MEDICARE
ND
Enumeration date
01/31/2008
Last updated
08/03/2015
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