| Caitlin Cavanaugh, DPT | |
|
425 7th St Nw, Cass Lake, MN 56633-3360 | |
| (218) 335-3200 | |
| (218) 335-3327 |
| Full Name | Caitlin Cavanaugh |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 425 7th St Nw, Cass Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124411582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P15492 (North Carolina) | Primary |
| Provider Name | Activcare Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Cavanaugh, DPT 2309 Birchmont Dr Ne, Bemidji, MN 56601-2325 Ph: (218) 335-3200 | Caitlin Cavanaugh, DPT 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3200 |
Paul Robert Schaefer, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3300 | |
Suzanne Sherry, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3239 | |
Alissa Massie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 |