| Krista Lee Fromm, PT | |
|
622 Aberdeen Ave, Jordan, MN 55352-9516 | |
| (952) 492-2220 | |
| Not Available |
| Full Name | Krista Lee Fromm |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 622 Aberdeen Ave, Jordan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871675454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7196 (Minnesota) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013498914 PECOS PAC ID: 2365359932 Enrollment ID: O20181204002105 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Lee Fromm, PT 9219 Hillsboro Way, Savage, MN 55378-2108 Ph: (952) 994-3495 | Krista Lee Fromm, PT 622 Aberdeen Ave, Jordan, MN 55352-9516 Ph: (952) 492-2220 |
Alicia Ray, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 622 Aberdeen Ave, Jordan, MN 55352 Phone: 952-492-2220 Fax: 952-492-2073 | |
Mrs. Michelle Linae Jung, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 Aberdeen Ave, Jordan, MN 55352 Phone: 952-492-5559 | |
Kiirsten Rakers, BS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hope Ave, Jordan, MN 55352 Phone: 952-492-8470 Fax: 952-492-3880 |