| Wieber Physical Therapy | |
|
1961 Cardinal Ln, Suite A, Faribault, MN 55021-4353 | |
| (507) 333-2986 | |
| Not Available |
| Full Name | Wieber Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1961 Cardinal Ln, Faribault, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700961042 | NPI | - | NPPES |
| 734390600 | Medicaid | MN | |
| 8B800WI | Other | MN | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 102310 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 5231 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wieber Physical Therapy 1961 Cardinal Ln, Suite A, Faribault, MN 55021-4353 Ph: (507) 333-2986 | Wieber Physical Therapy 1961 Cardinal Ln, Suite A, Faribault, MN 55021-4353 Ph: (507) 333-2986 |
Sarah Ann Jentink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-332-4790 | |
Dr. Liana Blomgren, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Maria Bohl, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Mrs. Amy Renee Willingham, PHYSICALTHERAPISTMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 17th St Nw, Faribault, MN 55021 Phone: 507-332-2204 Fax: 507-332-2270 | |
Jason Niemann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 | |
Nathan A Moldestad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 8th Ave Nw, Suite 4, Faribault, MN 55021 Phone: 507-334-5627 Fax: 507-334-1824 | |
Kelly Kitzman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1520 17th St Nw, Faribault, MN 55021 Phone: 218-205-0190 |