Individual
MS. JODY L MOLDENHAUER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1033 BASIN AVE, HEALTHWAYS, BISMARCK, ND 58504-6649
(701) 223-6613
(701) 221-9114
Mailing address
325 N 31ST ST, APT 2, BISMARCK, ND 58501-5188
(701) 391-5584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1368
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1368
PT LICENSE NUMBER
ND
01
—
2271970
AMERICA'S PPO ID
ND
Enumeration date
02/14/2006
Last updated
07/09/2007
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