Organization
THIELGES THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA THIELGES (ADMINISTRATOR)
(701) 883-5464
Entity
Organization
Contact information
Practice address
119 MAIN STREET SE, LAMOURE, ND 58458-0007
(701) 883-5456
Mailing address
7274 108TH AVE SE, LAMOURE, ND 58458-9409
(701) 883-5464
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28815
BLUESHIELD
—
Enumeration date
01/17/2008
Last updated
07/14/2009
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