Individual
LEATHA N VAAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
213 5TH ST NE, DEVILS LAKE, ND 58301-2425
(701) 662-2216
(701) 401-0104
Mailing address
213 5TH ST NE, DEVILS LAKE, ND 58301-2425
(701) 662-2216
(701) 401-0104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
984
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26709
BCBS
ND
01
—
26711
BCBS ND COL
ND
Enumeration date
05/22/2007
Last updated
09/12/2025
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