| Homestead Physical Therapy Pllc | |
|
105 9th Ave Se, Suite 2, Watford City, ND 58854 | |
| (701) 842-4424 | |
| Not Available |
| Full Name | Homestead Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 105 9th Ave Se, Watford City, 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 |
|---|---|---|---|
| 1184338741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mckayla Haugeberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184241507 PECOS PAC ID: 5890114748 Enrollment ID: I20200928001066 |
| Provider Name | Kordae J Hayden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356816128 PECOS PAC ID: 2466838594 Enrollment ID: I20220927003132 |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Physical Therapy Pllc 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Homestead Physical Therapy Pllc 105 9th Ave Se, Suite 2, Watford City, ND 58854 Ph: (701) 842-4424 |
Mckayla Haugeberg, Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 9th Avenue Se, Ste 2, Watford City, ND 58854 Phone: 701-842-4424 | |
Mr. Matthew Neprash, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 9th Ave Se, # 2, Watford City, ND 58854 Phone: 701-842-4424 Fax: 701-842-4255 | |
Riley Rae Veis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 8th St Ne, Watford City, ND 58854 Phone: 701-842-6315 | |
Lexyn J Henderson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 709 4th Ave Ne, Watford City, ND 58854 Phone: 701-842-3000 | |
Mrs. Marilyn Beth Pierce, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3272 127th Avenue Nw, Watford City, ND 58854 Phone: 701-570-5241 |