| Rickertsen Therapy Center | |
|
1150 W Shore Dr Sw Hutchinson MN 55350-6740 | |
| (763) 245-1970 | |
| Not Available |
| Full Name | Rickertsen Therapy Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 W Shore Dr Sw, Hutchinson, Minnesota |
| Authorized Official Name and Position | Sandra Lynn Rickertsen (CEO & MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 7632451970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rickertsen Therapy Center 1150 W Shore Dr Sw Hutchinson MN 55350-6740 Ph: (763) 245-1970 | Rickertsen Therapy Center 1150 W Shore Dr Sw Hutchinson MN 55350-6740 Ph: (763) 245-1970 |
| NPI Number | 1376362251 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 0547795007 |
|---|---|
| Medicare Enrollment ID | O20241121001784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376362251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sandra Lynn Rickertsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295975225 PECOS PAC ID: 2365977824 Enrollment ID: I20241121001946 |
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