| Molly Axvig, DPT | |
|
146 Lake St N, Forest Lake, MN 55025-2518 | |
| (651) 275-4706 | |
| Not Available |
| Full Name | Molly Axvig |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 146 Lake St N, Forest 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 |
|---|---|---|---|
| 1659857290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11177 (Minnesota) | Primary |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Provider Name | Minnesota Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780288134 PECOS PAC ID: 6103230172 Enrollment ID: O20210203000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Axvig, DPT 7581 9th St N Ste 100, Oakdale, MN 55128-6635 Ph: (651) 748-4338 | Molly Axvig, DPT 146 Lake St N, Forest Lake, MN 55025-2518 Ph: (651) 275-4706 |
Charles Schwiesow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-464-8502 | |
Hunter N Huberty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 146 Lake St N Ste 200, Forest Lake, MN 55025 Phone: 651-275-4706 Fax: 651-464-8547 | |
John Altnow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1467 Lake St S Ste 300, Forest Lake, MN 55025 Phone: 651-241-3840 | |
Rebecca Varoga, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-275-4706 Fax: 651-464-8547 | |
Lindsey Carr, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1467 Lake St S Ste 300, Forest Lake, MN 55025 Phone: 651-241-3840 | |
Janet Darlene Olson, PT, OTR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-464-8502 | |
Curtis R Hennen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Forest Lake, MN 55025 Phone: 651-982-1504 |