Individual
NANCY RUTLEDGE HAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
633 SHOREWOOD DR, DETROIT LAKES, MN 56501-4601
(218) 849-6949
Mailing address
633 SHOREWOOD DR, DETROIT LAKES, MN 56501-4601
(218) 849-6949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16145
NDBS #
MN
01
—
59D56HA
MNBS #
MN
01
—
6411644
MEDICA #
MN
01
—
974511
AMERICA'S PPO/ARAZ #
MN
01
—
DA9031015523
PREFERRED ONE #
MN
01
—
HP38653
HEALTHPARTNERS #
FM
01
—
MN200044
LHS/BANNERHEALTH #
MN
Enumeration date
05/28/2006
Last updated
09/03/2013
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