| Taylor Rolstad, | |
|
900 Main St W, Cannon Falls, MN 55009-1852 | |
| (920) 252-4442 | |
| Not Available |
| Full Name | Taylor Rolstad |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 900 Main St W, Cannon Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356183107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14202 (Minnesota) | 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 |
|---|---|
| Taylor Rolstad, 900 Main St W, Cannon Falls, MN 55009-1852 Ph: (920) 252-4442 | Taylor Rolstad, 900 Main St W, Cannon Falls, MN 55009-1852 Ph: (920) 252-4442 |
Kim Brown, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Dow St N, Cannon Falls, MN 55009 Phone: 507-263-6712 Fax: 507-298-3082 | |
Jennifer Lynn Fogarty, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32021 Country 24 Boulevard, Cannon Falls, MN 55992 Phone: 507-263-9758 Fax: 507-263-9647 | |
Curtis John Beissel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32021 Count 24 Blvd, Cannon Falls, MN 55009 Phone: 507-263-6000 |