| Suedel Therapeutics Pllc | |
|
3535 S 31st St Ste 105, Grand Forks, ND 58201-3592 | |
| (701) 317-2897 | |
| (701) 213-4345 |
| Full Name | Suedel Therapeutics Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3535 S 31st St Ste 105, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902446271 | NPI | - | NPPES |
| SUE78-1717 | Other | ND | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Adam J Suedel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033309638 PECOS PAC ID: 5496846909 Enrollment ID: I20070813000008 |
| Provider Name | Stephanie Suedel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053505214 PECOS PAC ID: 4486973815 Enrollment ID: I20150529002411 |
| Provider Name | Kelsey Demester |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386258150 PECOS PAC ID: 5193130367 Enrollment ID: I20210309000514 |
| Provider Name | Danielle Helgeson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679635312 PECOS PAC ID: 3678650116 Enrollment ID: I20220106002191 |
| Provider Name | Sarah B Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659756328 PECOS PAC ID: 1456668227 Enrollment ID: I20220624000863 |
| Provider Name | Heidi L Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740902873 PECOS PAC ID: 7315313632 Enrollment ID: I20221011002864 |
| Provider Name | Heidi J Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245593169 PECOS PAC ID: 8729456496 Enrollment ID: I20221130002386 |
| Provider Name | Michayla A Burckhard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467134106 PECOS PAC ID: 4880058437 Enrollment ID: I20230914002459 |
| Provider Name | Liz Kratochvil |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710602479 PECOS PAC ID: 7214470517 Enrollment ID: I20240614001789 |
| Mailing Address | Practice Location Address |
|---|---|
| Suedel Therapeutics Pllc 1311 S Washington St, Grand Forks, ND 58201-5406 Ph: (701) 317-2897 | Suedel Therapeutics Pllc 3535 S 31st St Ste 105, Grand Forks, ND 58201-3592 Ph: (701) 317-2897 |