Individual
MOLLY HELENE HABERICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 794-0360
Mailing address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 794-0360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005152
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000619
—
IA
01
—
10134142516
HEALTH PARTNERS
MN
01
—
1134142516
CARE PROVIDER NETWORK
IA
01
—
1134142516
BLUE CROSS MN
MN
01
—
1134142516
MIDLANDS CHOICE
NE
01
—
1134142516
UNITED HEALTHCARE
UT
01
—
34706
BLUECROSS/BLUESHEILD IOWA
IA
01
—
421470451
MMSI
MN
01
—
421470451
GUNDERSEN
WI
Enumeration date
08/07/2013
Last updated
08/16/2013
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