| Leatha N Vaagen, PT | |
|
213 5th St Ne, Devils Lake, ND 58301-2425 | |
| (701) 662-2216 | |
| (701) 401-0104 |
| Full Name | Leatha N Vaagen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 213 5th St Ne, Devils Lake, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437368768 | NPI | - | NPPES |
| 26711 | Other | ND | BCBS ND COL |
| 26709 | Other | ND | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 984 (North Dakota) | Primary |
| Provider Name | 583 Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316647258 PECOS PAC ID: 9830554351 Enrollment ID: O20230504002648 |
| Mailing Address | Practice Location Address |
|---|---|
| Leatha N Vaagen, PT 213 5th St Ne, Devils Lake, ND 58301-2425 Ph: (701) 662-2216 | Leatha N Vaagen, PT 213 5th St Ne, Devils Lake, ND 58301-2425 Ph: (701) 662-2216 |
Marleigh M Lybeck, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 Highway 2 W Ste 7, Devils Lake, ND 58301 Phone: 701-662-8448 | |
Brekhus Wellness, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 Highway 2 W Ste 7, Devils Lake, ND 58301 Phone: 701-351-3907 | |
Dr. Sadie Myklebust, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Highway 2 W Ste 7, Devils Lake, ND 58301 Phone: 701-662-8448 Fax: 701-662-8449 | |
Zachary Peterson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 7th St Ne, Devils Lake, ND 58301 Phone: 701-662-2157 | |
Ashley Jean Howard, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 618 14th Ave Ne, Devils Lake, ND 58301 Phone: 701-544-7000 | |
Dr. Ashley Pederson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 Highway 2 W Ste 7, Devils Lake, ND 58301 Phone: 701-662-8448 |