| Beth Wittersen, PT | |
|
7475 Country Club Dr, Golden Valley, MN 55427-4622 | |
| (952) 237-3291 | |
| Not Available |
| Full Name | Beth Wittersen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7475 Country Club Dr, Golden Valley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497056139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10561-024 (Wisconsin) | Primary |
| 225100000X | Physical Therapist | 9569 (Minnesota) | Secondary |
| Provider Name | Active Therapy Mn |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730835257 PECOS PAC ID: 2769878099 Enrollment ID: O20220413000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Wittersen, PT 9130 61 1/2 Ave N, New Hope, MN 55428-2610 Ph: (952) 237-3291 | Beth Wittersen, PT 7475 Country Club Dr, Golden Valley, MN 55427-4622 Ph: (952) 237-3291 |
Nicole Kraemer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-520-0540 | |
Janice Patricia Kehler, PT MSC MA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Courage Center, Golden Valley, MN 55422 Phone: 763-588-0811 Fax: 763-520-0355 | |
Dr. Kristin Lee Johnson, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Country Club Dr, Golden Valley, MN 55427 Phone: 952-993-5495 | |
Eric Stavenger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902 | |
Paul Larry Melsness, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-520-0449 | |
Alexandra Pantelis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 612-775-2499 | |
Lance Briard, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8301 Golden Valley Rd Ste 202, Golden Valley, MN 55427 Phone: 507-227-9685 Fax: 612-365-0307 |