| Ethan J Lind, DPT | |
|
200 Street Sw, Rochester, MN 55905-3741 | |
| (715) 820-2472 | |
| Not Available |
| Full Name | Ethan J Lind |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 200 Street Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124495148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070021746 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 13296 (Wisconsin) | Primary |
| Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan J Lind, DPT 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Ethan J Lind, DPT 200 Street Sw, Rochester, MN 55905-3741 Ph: (715) 820-2472 |
Melissa S Larson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 19th St Nw, Rochester, MN 55901 Phone: 507-322-3460 | |
Sara E Demars, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Nathan J Hellyer, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jean C Weland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jade Patraw Metzger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joshua Mattison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4229 W Frontage Rd N, Rochester, MN 55901 Phone: 507-322-3460 | |
Dr. Melanie Dawn Brennan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5335 E Frontage Rd Nw, Suite C, Rochester, MN 55901 Phone: 507-259-7570 Fax: 888-624-3107 |