Organization
SOUTHEAST THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA KELLY (ADMINISTRATOR)
(701) 742-3267
Entity
Organization
Contact information
Practice address
420 SOUTH 7TH STREET, OAKES, ND 58474-2024
(701) 742-3267
(701) 742-3201
Mailing address
PO BOX 368, OAKES, ND 58474-0368
(701) 742-3267
(701) 742-3201
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01346001
BLUE SHIELD
ND
05
—
51787
—
ND
01
—
CG3429
RAILROAD MEDICARE
ND
Enumeration date
02/14/2006
Last updated
08/07/2008
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