| Steven Louis Bultena, PT | |
|
1738 Hulett Ave, Faribault, MN 55021 | |
| (763) 442-3632 | |
| Not Available |
| Full Name | Steven Louis Bultena |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Geriatrics |
| Location | 1738 Hulett Ave, Faribault, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780393694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Primary |
| Provider Name | Odom Sports Medicine Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Louis Bultena, PT 38489 County 8 Blvd, Goodhue, MN 55027-5043 Ph: (763) 442-3632 | Steven Louis Bultena, PT 1738 Hulett Ave, Faribault, MN 55021 Ph: (763) 442-3632 |
Sarah Ann Jentink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-332-4790 | |
Dr. Liana Blomgren, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Maria Bohl, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Mrs. Amy Renee Willingham, PHYSICALTHERAPISTMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 17th St Nw, Faribault, MN 55021 Phone: 507-332-2204 Fax: 507-332-2270 | |
Jason Niemann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 | |
Nathan A Moldestad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 8th Ave Nw, Suite 4, Faribault, MN 55021 Phone: 507-334-5627 Fax: 507-334-1824 | |
Kelly Kitzman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1520 17th St Nw, Faribault, MN 55021 Phone: 218-205-0190 |