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 | 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 |
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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 |