| Infinite Health Collaborative, PA | |
|
3500 American Blvd W Ste 300 Bloomington MN 55431-4442 | |
| (952) 512-5600 | |
| (952) 512-5651 |
| Full Name | Infinite Health Collaborative, PA |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 3500 American Blvd W Ste 300, Bloomington, Minnesota |
| Authorized Official Name and Position | Elizabeth Sween (CFO) |
| Authorized Official Contact | 6514521489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Health Collaborative, PA 3500 American Blvd W Ste 300 Bloomington MN 55431-4442 Ph: (952) 512-5600 | Infinite Health Collaborative, PA 3500 American Blvd W Ste 300 Bloomington MN 55431-4442 Ph: (952) 512-5600 |
| NPI Number | 1164474250 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 06/04/2026 |
| Certification Date | 06/04/2026 |
| Medicare PECOS PAC ID | 1052225042 |
|---|---|
| Medicare Enrollment ID | O20040209000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164474250 | NPI | - | NPPES |
| Provider Name | Hieu K Cabak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518917731 PECOS PAC ID: 7810893823 Enrollment ID: I20031210000686 |
| Provider Name | Patricia M Pettit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922002658 PECOS PAC ID: 8628975703 Enrollment ID: I20031217000139 |
| Provider Name | Scott M Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154305662 PECOS PAC ID: 6800709395 Enrollment ID: I20040113000063 |
| Provider Name | Tanya a Reckinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699863803 PECOS PAC ID: 8022910835 Enrollment ID: I20040122000838 |
| Provider Name | Myriah M Hanno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417929670 PECOS PAC ID: 4587567854 Enrollment ID: I20040202000789 |
| Provider Name | Paul R Diekmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669490439 PECOS PAC ID: 2668366139 Enrollment ID: I20040214000168 |
| Provider Name | Troy M Evenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609842632 PECOS PAC ID: 7012802903 Enrollment ID: I20040219000173 |
| Provider Name | Michael David Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457325904 PECOS PAC ID: 9537066196 Enrollment ID: I20040224000029 |
| Provider Name | Russell L Wavrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962479071 PECOS PAC ID: 2668368853 Enrollment ID: I20040225000142 |
| Provider Name | Eric C Barth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205942901 PECOS PAC ID: 1254221278 Enrollment ID: I20040316000138 |
| Provider Name | Christopher P Meyer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669585816 PECOS PAC ID: 5698665461 Enrollment ID: I20040316001189 |
| Provider Name | Heath R Renner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285645044 PECOS PAC ID: 4183516545 Enrollment ID: I20040329001295 |
| Provider Name | Joseph K Wavra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467540583 PECOS PAC ID: 7517959307 Enrollment ID: I20040401000349 |
| Provider Name | Kristopher Gerald Balgaard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053495564 PECOS PAC ID: 1759373566 Enrollment ID: I20040401000458 |
| Provider Name | Chad L Swearingen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558392878 PECOS PAC ID: 4587659768 Enrollment ID: I20040416001398 |
| Provider Name | Jancy a Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487736013 PECOS PAC ID: 4981691342 Enrollment ID: I20040428000019 |
| Provider Name | Neil R Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144243973 PECOS PAC ID: 2769479625 Enrollment ID: I20040430000677 |
| Provider Name | Michael R Timm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245202399 PECOS PAC ID: 0547257438 Enrollment ID: I20040430000985 |
| Provider Name | Andrew F Arthur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720017544 PECOS PAC ID: 9739177890 Enrollment ID: I20040505001503 |
| Provider Name | Rebecca S Mattison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093775736 PECOS PAC ID: 2567445513 Enrollment ID: I20040610000730 |
| Provider Name | Thomas K Comfort |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669443495 PECOS PAC ID: 2961485784 Enrollment ID: I20040611000216 |
| Provider Name | Edward W Szalapski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538262084 PECOS PAC ID: 5799679023 Enrollment ID: I20040611001298 |
| Provider Name | Ann Therese Kaminski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396744306 PECOS PAC ID: 6406830736 Enrollment ID: I20040615000993 |
| Provider Name | Brad R Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770699555 PECOS PAC ID: 4284619610 Enrollment ID: I20040621001158 |
| Provider Name | Denise Marion Ingram |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962518571 PECOS PAC ID: 0547245763 Enrollment ID: I20040622000933 |
| Provider Name | Laura Loeding Bechtold |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144336702 PECOS PAC ID: 9234114190 Enrollment ID: I20040623001119 |
| Provider Name | Susan E Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194831743 PECOS PAC ID: 7012992985 Enrollment ID: I20040623001147 |
| Provider Name | Christian M Dubois |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336145952 PECOS PAC ID: 8224008636 Enrollment ID: I20040730000950 |
| Provider Name | Roderick L Youngdahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821193681 PECOS PAC ID: 5496727059 Enrollment ID: I20040812000869 |
| Provider Name | Sarah J Jenks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053338137 PECOS PAC ID: 9335114503 Enrollment ID: I20040831001062 |
| Provider Name | Paul M Cammack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962413799 PECOS PAC ID: 5698742393 Enrollment ID: I20040913000917 |
| Provider Name | Wanda J Lickteig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104932730 PECOS PAC ID: 5597726216 Enrollment ID: I20041025001097 |
| Provider Name | Corey a Wulf |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1811968365 PECOS PAC ID: 7618938259 Enrollment ID: I20041026000811 |
| Provider Name | Peter R Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396706511 PECOS PAC ID: 4981666765 Enrollment ID: I20041103000580 |
| Provider Name | Robert V Knowlan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609872381 PECOS PAC ID: 2961316054 Enrollment ID: I20041120000141 |
| Provider Name | Gregory N Lervick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881701829 PECOS PAC ID: 4385600014 Enrollment ID: I20041204000287 |
| Provider Name | Christie S Heikes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154541035 PECOS PAC ID: 4789642646 Enrollment ID: I20041222000666 |
| Provider Name | Jasmin Grace V Ramirez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588628135 PECOS PAC ID: 3274582648 Enrollment ID: I20050113000139 |
| Provider Name | James W Matheson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831142892 PECOS PAC ID: 4587614045 Enrollment ID: I20050124000429 |
| Provider Name | Jacqueline a Luong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598874778 PECOS PAC ID: 1153371281 Enrollment ID: I20050126001077 |
| Provider Name | Peter a Bretzman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902884117 PECOS PAC ID: 4082528013 Enrollment ID: I20050222000031 |
| Provider Name | Sommer N Vaughan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104932748 PECOS PAC ID: 4880647403 Enrollment ID: I20050223000768 |
| Provider Name | Michael R Meisterling |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346247665 PECOS PAC ID: 1254397318 Enrollment ID: I20050304000091 |
| Provider Name | Melinda Susan Ament |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962588525 PECOS PAC ID: 1153375795 Enrollment ID: I20050308000244 |
| Provider Name | Sheryl a Louie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336145937 PECOS PAC ID: 1153376835 Enrollment ID: I20050315000926 |
| Provider Name | Bonnie L Shelley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154426856 PECOS PAC ID: 6204881527 Enrollment ID: I20050318000568 |
| Provider Name | Mark J Froemke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841214723 PECOS PAC ID: 7416902622 Enrollment ID: I20050321000320 |
| Provider Name | James C Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871562330 PECOS PAC ID: 6103872072 Enrollment ID: I20050323001061 |
| Provider Name | Jason L Eggers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275581795 PECOS PAC ID: 0143276923 Enrollment ID: I20050324000504 |
| Provider Name | Sheila R Goodman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144224965 PECOS PAC ID: 5991751414 Enrollment ID: I20050329000170 |
| Provider Name | Rochelle L Lindow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811092455 PECOS PAC ID: 6608814504 Enrollment ID: I20050421000230 |
| Provider Name | Lisa a Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790894012 PECOS PAC ID: 7214975796 Enrollment ID: I20050425000749 |
| Provider Name | David a Willey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043207681 PECOS PAC ID: 3375582786 Enrollment ID: I20050426000596 |
| Provider Name | Nancy W Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275596660 PECOS PAC ID: 7517907827 Enrollment ID: I20050505001009 |
| Provider Name | Frank B Norberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326154931 PECOS PAC ID: 4587607486 Enrollment ID: I20050602000049 |
| Provider Name | Elizabeth Klodas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194792978 PECOS PAC ID: 6305881459 Enrollment ID: I20050621000059 |
| Provider Name | Michael T Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043304207 PECOS PAC ID: 7517903644 Enrollment ID: I20050629000778 |
| Provider Name | John T Chow |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851365985 PECOS PAC ID: 7618913252 Enrollment ID: I20050705000661 |
| Provider Name | Barbara C Toppin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356327688 PECOS PAC ID: 6305816570 Enrollment ID: I20050713000449 |
| Provider Name | Michael J Dixey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902860216 PECOS PAC ID: 3274569660 Enrollment ID: I20050718000394 |
| Provider Name | Sou-pan Wu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114993961 PECOS PAC ID: 9931137213 Enrollment ID: I20050728000378 |
| Provider Name | David R Anderson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770690687 PECOS PAC ID: 2264460211 Enrollment ID: I20050801000150 |
| Provider Name | Rebekah R Ormsby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962489443 PECOS PAC ID: 2961430764 Enrollment ID: I20050802001095 |
| Provider Name | Sarah B Schmitz-burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548211485 PECOS PAC ID: 1759311723 Enrollment ID: I20050818000925 |
| Provider Name | William T Simonet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851330088 PECOS PAC ID: 2668403619 Enrollment ID: I20050830000070 |
| Provider Name | Johannes C Coetzee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891729000 PECOS PAC ID: 2961433818 Enrollment ID: I20050830000842 |
| Provider Name | Julie a Stauffer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245349455 PECOS PAC ID: 2466484977 Enrollment ID: I20050906000842 |
| Provider Name | Scott Anseth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942213384 PECOS PAC ID: 0042290645 Enrollment ID: I20050906000859 |
| Provider Name | Jonathan M Cooper |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720028830 PECOS PAC ID: 1456384890 Enrollment ID: I20050915000503 |
| Provider Name | Lisa M Hromadka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013962455 PECOS PAC ID: 2264465319 Enrollment ID: I20050919000639 |
| Provider Name | Ellen R Shammash |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760455208 PECOS PAC ID: 9032143722 Enrollment ID: I20050922000169 |
| Provider Name | Deborah a Lensing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538250154 PECOS PAC ID: 1658305925 Enrollment ID: I20050926000760 |
| Provider Name | Allan F Hunt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134103633 PECOS PAC ID: 5395797229 Enrollment ID: I20050927001086 |
| Provider Name | Robert F Laprade |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477658771 PECOS PAC ID: 2163447376 Enrollment ID: I20051006000826 |
| Provider Name | Daniel P Spielman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063413250 PECOS PAC ID: 3971529751 Enrollment ID: I20051020000774 |
| Provider Name | Angela M Stock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891801486 PECOS PAC ID: 7012936560 Enrollment ID: I20051115000190 |
| Provider Name | Brett M Osgood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437128428 PECOS PAC ID: 3072535319 Enrollment ID: I20051229000530 |
| Provider Name | Mark D Fischer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1801807177 PECOS PAC ID: 2062427503 Enrollment ID: I20060220000531 |
| Provider Name | Stephen L Olmsted |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1326060427 PECOS PAC ID: 9032124581 Enrollment ID: I20060220000555 |
| Provider Name | Paul W Breyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235242827 PECOS PAC ID: 8426064718 Enrollment ID: I20060223000379 |
| Provider Name | Catherine G Carrabre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366507626 PECOS PAC ID: 5395751184 Enrollment ID: I20060303000075 |
| Provider Name | Michelle N Griffin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407592595 PECOS PAC ID: 1850308479 Enrollment ID: I20060307000525 |
| Provider Name | Lisa M Matheson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407047467 PECOS PAC ID: 4688681786 Enrollment ID: I20060315000134 |
| Provider Name | Jessica L Olderness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265549950 PECOS PAC ID: 1355358466 Enrollment ID: I20060315000262 |
| Provider Name | Tiffany E Rodman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891702080 PECOS PAC ID: 9032126784 Enrollment ID: I20060321000465 |
| Provider Name | Regina N Cho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316976970 PECOS PAC ID: 5294762860 Enrollment ID: I20060413000068 |
| Provider Name | Margaret a Baranowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033130463 PECOS PAC ID: 8224041637 Enrollment ID: I20060731000469 |
| Provider Name | Dana L Kaufman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659387637 PECOS PAC ID: 2466455522 Enrollment ID: I20060810000563 |
| Provider Name | Allison K West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528019676 PECOS PAC ID: 2365445392 Enrollment ID: I20060814000072 |
| Provider Name | Joseph P Nemanich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851363378 PECOS PAC ID: 3870596497 Enrollment ID: I20060821000015 |
| Provider Name | Elizabeth a Witchger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316050032 PECOS PAC ID: 2961405402 Enrollment ID: I20060823000022 |
| Provider Name | Lisa C Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578582235 PECOS PAC ID: 3779586219 Enrollment ID: I20060823000024 |
| Provider Name | Heather L Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851301766 PECOS PAC ID: 4385648377 Enrollment ID: I20060906000037 |
| Provider Name | Jeffrey J Mair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154364669 PECOS PAC ID: 3678577301 Enrollment ID: I20060911000524 |
| Provider Name | Michael D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528032315 PECOS PAC ID: 1254336555 Enrollment ID: I20060920000132 |
| Provider Name | Christopher J Kuhn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760590103 PECOS PAC ID: 7810992500 Enrollment ID: I20061003000034 |
| Provider Name | Ron D Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902873847 PECOS PAC ID: 0941233175 Enrollment ID: I20061003000066 |
| Provider Name | Michael J Slavics |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902990476 PECOS PAC ID: 0244236693 Enrollment ID: I20061009000209 |
| Provider Name | Elizabeth GC Haglind |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720186042 PECOS PAC ID: 7113923566 Enrollment ID: I20061009000240 |
| Provider Name | Paul L Ramnarine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427157353 PECOS PAC ID: 9931105798 Enrollment ID: I20061018000486 |
| Provider Name | Michael G Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164517181 PECOS PAC ID: 6608872361 Enrollment ID: I20061020000139 |
| Provider Name | Jason R Ash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548367626 PECOS PAC ID: 2062418734 Enrollment ID: I20061020000235 |
| Provider Name | Kathleen Cram |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710086095 PECOS PAC ID: 4688671464 Enrollment ID: I20061109000162 |
| Provider Name | Maurie S Steinley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578594792 PECOS PAC ID: 0547268153 Enrollment ID: I20061115000034 |
| Provider Name | Jennifer M Erdmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588756688 PECOS PAC ID: 4284632696 Enrollment ID: I20061120000200 |
| Provider Name | Michael J Stay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215027669 PECOS PAC ID: 6406855865 Enrollment ID: I20061212000440 |
| Provider Name | Jill K Monson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235234998 PECOS PAC ID: 2062411341 Enrollment ID: I20061214000261 |
| Provider Name | Amy C Lindell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588638514 PECOS PAC ID: 5597765586 Enrollment ID: I20061221000251 |
| Provider Name | Jodi B Chaplin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134182322 PECOS PAC ID: 9133120942 Enrollment ID: I20070122000613 |
| Provider Name | Andrew R Harrison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396768180 PECOS PAC ID: 0749281400 Enrollment ID: I20070123000418 |
| Provider Name | Trisha D Mellesmoen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548356132 PECOS PAC ID: 1052312279 Enrollment ID: I20070130000553 |
| Provider Name | Jennifer H Ambur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215003306 PECOS PAC ID: 7911979927 Enrollment ID: I20070227000116 |
| Provider Name | Christopher M Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396763314 PECOS PAC ID: 1153426101 Enrollment ID: I20070419000265 |
| Provider Name | Rochelle Ann Wolfe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417164005 PECOS PAC ID: 9931207289 Enrollment ID: I20070611000020 |
| Provider Name | James B Williams |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881617306 PECOS PAC ID: 5991804718 Enrollment ID: I20070620000164 |
| Provider Name | Steven D Meletiou |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447322011 PECOS PAC ID: 2062461395 Enrollment ID: I20070730000798 |
| Provider Name | Timothy G Schaefer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346325487 PECOS PAC ID: 0042301863 Enrollment ID: I20070808000791 |
| Provider Name | Jessica M Staples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356544274 PECOS PAC ID: 1052402666 Enrollment ID: I20070811000062 |
| Provider Name | Karie K Nash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770680076 PECOS PAC ID: 6709882822 Enrollment ID: I20070822000982 |
| Provider Name | David F Winecoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063535110 PECOS PAC ID: 1456443472 Enrollment ID: I20070822001194 |
| Provider Name | Hope E Frisch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396943726 PECOS PAC ID: 7315039153 Enrollment ID: I20070823000838 |
| Provider Name | James H Zavoral |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588675789 PECOS PAC ID: 7618069386 Enrollment ID: I20070827000091 |
| Provider Name | Corey N Fett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174715361 PECOS PAC ID: 1355433046 Enrollment ID: I20070827000274 |
| Provider Name | Frederick B Harris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881716827 PECOS PAC ID: 3173617784 Enrollment ID: I20070913000193 |
| Provider Name | Nichole a Roiko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265622005 PECOS PAC ID: 7315032083 Enrollment ID: I20070926001189 |
| Provider Name | Patrick F Okeefe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720125180 PECOS PAC ID: 1153416466 Enrollment ID: I20071002000425 |
| Provider Name | Steven R Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750390472 PECOS PAC ID: 7416043252 Enrollment ID: I20071010000158 |
| Provider Name | Kyle R Exsted |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669679486 PECOS PAC ID: 1759477706 Enrollment ID: I20071022000604 |
| Provider Name | Eric Richard Nelson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619946811 PECOS PAC ID: 5092803056 Enrollment ID: I20071109000028 |
| Provider Name | Xochill a Thalhuber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427055888 PECOS PAC ID: 1951391283 Enrollment ID: I20071120000331 |
| Provider Name | Ann Christine Lowry |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174532881 PECOS PAC ID: 7214825777 Enrollment ID: I20080131000515 |
| Provider Name | Cyril F Kruse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467487579 PECOS PAC ID: 0941397665 Enrollment ID: I20080227000150 |
| Provider Name | Scott a Wilkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225008634 PECOS PAC ID: 2365400413 Enrollment ID: I20080430000332 |
| Provider Name | Abigale E Gabrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902066384 PECOS PAC ID: 4880768092 Enrollment ID: I20080806000574 |
| Provider Name | Andrew C Grupa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972767374 PECOS PAC ID: 0648345322 Enrollment ID: I20080814000310 |
| Provider Name | Erik M Wetter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285784892 PECOS PAC ID: 5092880542 Enrollment ID: I20080818000456 |
| Provider Name | Paul H Sufka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962695023 PECOS PAC ID: 7416022520 Enrollment ID: I20080822000715 |
| Provider Name | Eric E Kirksson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184870255 PECOS PAC ID: 0648346122 Enrollment ID: I20080908000028 |
| Provider Name | Mitchell J Kary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861658742 PECOS PAC ID: 2567538838 Enrollment ID: I20080910000445 |
| Provider Name | Courtney N James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871764472 PECOS PAC ID: 6800963836 Enrollment ID: I20080917000425 |
| Provider Name | Kimberly a Gerten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083658181 PECOS PAC ID: 5092741488 Enrollment ID: I20081006000032 |
| Provider Name | Sarah E Wilcox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255509659 PECOS PAC ID: 0244300473 Enrollment ID: I20081007000350 |
| Provider Name | Mary T Dahling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801863436 PECOS PAC ID: 8820166366 Enrollment ID: I20081009000829 |
| Provider Name | Ryan S Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952557936 PECOS PAC ID: 9638237589 Enrollment ID: I20081021000519 |
| Provider Name | David a Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487816872 PECOS PAC ID: 3678632767 Enrollment ID: I20081104000524 |
| Provider Name | Mary Beth Schiffer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427076694 PECOS PAC ID: 5597825224 Enrollment ID: I20081125000338 |
| Provider Name | Sara M Jorud |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821186628 PECOS PAC ID: 5395806574 Enrollment ID: I20081205000583 |
| Provider Name | Jay D Schindler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164641924 PECOS PAC ID: 6103987201 Enrollment ID: I20081208000576 |
| Provider Name | Matthew R Beatty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558537860 PECOS PAC ID: 3173685856 Enrollment ID: I20081215000795 |
| Provider Name | Kevin C Reichart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134145907 PECOS PAC ID: 1658433032 Enrollment ID: I20081218000419 |
| Provider Name | Ashley Ann Korbel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114180353 PECOS PAC ID: 6800958174 Enrollment ID: I20081219000437 |
| Provider Name | Amy M Boyden Hoekstra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013950369 PECOS PAC ID: 6406919299 Enrollment ID: I20090105000424 |
| Provider Name | John a Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083635585 PECOS PAC ID: 8224061452 Enrollment ID: I20090109000233 |
| Provider Name | Carey Meehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871662254 PECOS PAC ID: 0648336362 Enrollment ID: I20090304000819 |
| Provider Name | Amy Stuke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205906583 PECOS PAC ID: 2365508900 Enrollment ID: I20090305000286 |
| Provider Name | Jason a Barry |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295830339 PECOS PAC ID: 0547326167 Enrollment ID: I20090306000206 |
| Provider Name | Heidi L Bolgren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215972872 PECOS PAC ID: 5496812836 Enrollment ID: I20090330000325 |
| Provider Name | Carrie J Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487755146 PECOS PAC ID: 7618024407 Enrollment ID: I20090414000342 |
| Provider Name | Michael J Nemanich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932157682 PECOS PAC ID: 0941397814 Enrollment ID: I20090608000314 |
| Provider Name | Laura D Koch |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1992753537 PECOS PAC ID: 1850488727 Enrollment ID: I20090608000360 |
| Provider Name | Edward W Kelly |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871541672 PECOS PAC ID: 3577650449 Enrollment ID: I20090608000494 |
| Provider Name | Owen R Oneill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568410454 PECOS PAC ID: 0143126326 Enrollment ID: I20090608000516 |
| Provider Name | Paul R Langer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790733442 PECOS PAC ID: 1557411857 Enrollment ID: I20090608000533 |
| Provider Name | Jennifer a Greseth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982796199 PECOS PAC ID: 1052320769 Enrollment ID: I20090624000174 |
| Provider Name | Julie a Wolter |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285830182 PECOS PAC ID: 9537211925 Enrollment ID: I20090715000750 |
| Provider Name | Becky R Stealy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942439906 PECOS PAC ID: 6002969557 Enrollment ID: I20090730000287 |
| Provider Name | Erin Kathleen Leslie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912938556 PECOS PAC ID: 5991718561 Enrollment ID: I20090825000709 |
| Provider Name | John W Bottoms |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144451675 PECOS PAC ID: 6608921044 Enrollment ID: I20090908000477 |
| Provider Name | Steven W Meisterling |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467660613 PECOS PAC ID: 4981770344 Enrollment ID: I20090909000200 |
| Provider Name | Krista J Olsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447393962 PECOS PAC ID: 1557417441 Enrollment ID: I20090917000400 |
| Provider Name | Allison Vargen Mikota |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104053198 PECOS PAC ID: 8820134109 Enrollment ID: I20090930000671 |
| Provider Name | Mark J Mangine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841420882 PECOS PAC ID: 1759427313 Enrollment ID: I20091013000099 |
| Provider Name | Ryan R. Karlstad |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1205832896 PECOS PAC ID: 0042226342 Enrollment ID: I20091229000272 |
| Provider Name | Nicholas J Meyer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1659378255 PECOS PAC ID: 1850307158 Enrollment ID: I20091229000354 |
| Provider Name | Anne V Merrill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003966706 PECOS PAC ID: 8921101213 Enrollment ID: I20100106000815 |
| Provider Name | Russel a Warnsholz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487988523 PECOS PAC ID: 5395886741 Enrollment ID: I20100106000835 |
| Provider Name | Loren N Vorlicky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831205616 PECOS PAC ID: 0042300865 Enrollment ID: I20100114000226 |
| Provider Name | Scott R Mcgarvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205943255 PECOS PAC ID: 5496897381 Enrollment ID: I20100114000560 |
| Provider Name | Andrew M Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316107998 PECOS PAC ID: 2163564030 Enrollment ID: I20100115000555 |
| Provider Name | Randall a Lewis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093738759 PECOS PAC ID: 8820001498 Enrollment ID: I20100116000306 |
| Provider Name | John R Kearns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467465807 PECOS PAC ID: 1951443720 Enrollment ID: I20100118000197 |
| Provider Name | Timothy J. Panek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699771386 PECOS PAC ID: 8325952419 Enrollment ID: I20100119000106 |
| Provider Name | Andrea M. Saterbak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184620858 PECOS PAC ID: 3779497862 Enrollment ID: I20100119000120 |
| Provider Name | Troy a Vargas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023014784 PECOS PAC ID: 6204842503 Enrollment ID: I20100119000512 |
| Provider Name | David C Fey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932123908 PECOS PAC ID: 7113069584 Enrollment ID: I20100122000560 |
| Provider Name | Benjamin Gulli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629089099 PECOS PAC ID: 5597855312 Enrollment ID: I20100202000011 |
| Provider Name | Marjorie L Van Der Hagen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063423366 PECOS PAC ID: 0446393300 Enrollment ID: I20100202000023 |
| Provider Name | Peter D Holmberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972521748 PECOS PAC ID: 6305933029 Enrollment ID: I20100205000663 |
| Provider Name | David R Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548376239 PECOS PAC ID: 2466595855 Enrollment ID: I20100208000309 |
| Provider Name | Lindsay J Darrah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427193549 PECOS PAC ID: 2668515842 Enrollment ID: I20100210000544 |
| Provider Name | David F Ruebeck |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1578670956 PECOS PAC ID: 2163472291 Enrollment ID: I20100304001083 |
| Provider Name | Jennifer R Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285684555 PECOS PAC ID: 6709921349 Enrollment ID: I20100306000100 |
| Provider Name | Kara E Pettigrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548244791 PECOS PAC ID: 3577646934 Enrollment ID: I20100310000582 |
| Provider Name | Amy J Thorsen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215945944 PECOS PAC ID: 1951368141 Enrollment ID: I20100330000128 |
| Provider Name | Mary Anne Jacob |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659348399 PECOS PAC ID: 3274425608 Enrollment ID: I20100408000100 |
| Provider Name | Amy M Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447223615 PECOS PAC ID: 7416908405 Enrollment ID: I20100430000456 |
| Provider Name | Stephanie a Rice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881667061 PECOS PAC ID: 3870544877 Enrollment ID: I20100512000336 |
| Provider Name | Laura Ed Scherf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396714754 PECOS PAC ID: 2365438561 Enrollment ID: I20100514000218 |
| Provider Name | Maryann S Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114015997 PECOS PAC ID: 7012046758 Enrollment ID: I20100518000915 |
| Provider Name | David E Olson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497830319 PECOS PAC ID: 8921137456 Enrollment ID: I20100521000435 |
| Provider Name | Anthony T Nagy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487888780 PECOS PAC ID: 3779612072 Enrollment ID: I20100525000789 |
| Provider Name | Shannon L Rechtiene |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184712390 PECOS PAC ID: 8628107836 Enrollment ID: I20100526001041 |
| Provider Name | Jennifer S Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013986611 PECOS PAC ID: 4486784451 Enrollment ID: I20100617000784 |
| Provider Name | Thomas Jason Cesarz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275645814 PECOS PAC ID: 5294806386 Enrollment ID: I20100722000984 |
| Provider Name | Rebecca Rae Munson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528387701 PECOS PAC ID: 9739212846 Enrollment ID: I20100726000809 |
| Provider Name | Justin a Walker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851529770 PECOS PAC ID: 9830213115 Enrollment ID: I20100824001001 |
| Provider Name | Suzin Cho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093798480 PECOS PAC ID: 3173562170 Enrollment ID: I20100914000901 |
| Provider Name | Kirk a Shibley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821071291 PECOS PAC ID: 0244230126 Enrollment ID: I20100914000968 |
| Provider Name | Jonathan H Sampson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790006476 PECOS PAC ID: 7810189644 Enrollment ID: I20101012000065 |
| Provider Name | Robert P Himmerick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134389778 PECOS PAC ID: 0648462317 Enrollment ID: I20101013000583 |
| Provider Name | John a Corbo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053625434 PECOS PAC ID: 6002008778 Enrollment ID: I20101013000595 |
| Provider Name | Lindsey M Wedoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578878070 PECOS PAC ID: 0547453177 Enrollment ID: I20101014001490 |
| Provider Name | Michael R Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972784056 PECOS PAC ID: 2062606148 Enrollment ID: I20101102001449 |
| Provider Name | David E Hartigan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467680322 PECOS PAC ID: 0547454555 Enrollment ID: I20101103001413 |
| Provider Name | Valerie L Saladin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346561032 PECOS PAC ID: 4789700113 Enrollment ID: I20101105000400 |
| Provider Name | Richard a Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417044538 PECOS PAC ID: 6800867706 Enrollment ID: I20101111001518 |
| Provider Name | Ryan Jay Bakko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417276304 PECOS PAC ID: 4981899960 Enrollment ID: I20101116001002 |
| Provider Name | Sarah E Sievert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366755316 PECOS PAC ID: 7719173467 Enrollment ID: I20101122000153 |
| Provider Name | Kyle R Nyquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790090777 PECOS PAC ID: 1052509056 Enrollment ID: I20101216001113 |
| Provider Name | Brandon E Schomberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700190634 PECOS PAC ID: 6406044783 Enrollment ID: I20101230000901 |
| Provider Name | Matt a Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457375917 PECOS PAC ID: 9537358726 Enrollment ID: I20110104000251 |
| Provider Name | Tonia J Flategraff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295040947 PECOS PAC ID: 2264621127 Enrollment ID: I20110106001130 |
| Provider Name | Scott W Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841507324 PECOS PAC ID: 9537348677 Enrollment ID: I20110121000618 |
| Provider Name | Alixandra S Crepeau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730368713 PECOS PAC ID: 1850467143 Enrollment ID: I20110201000954 |
| Provider Name | Jessie C Donovan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720395544 PECOS PAC ID: 7911187356 Enrollment ID: I20110202000412 |
| Provider Name | Tracy a Chisholm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740378033 PECOS PAC ID: 3678470390 Enrollment ID: I20110203001161 |
| Provider Name | Scott R Bookhout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477637825 PECOS PAC ID: 6608056593 Enrollment ID: I20110209001086 |
| Provider Name | Kelly J Soukup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669419610 PECOS PAC ID: 7618158155 Enrollment ID: I20110216001081 |
| Provider Name | Linda J Maag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801846761 PECOS PAC ID: 8022166131 Enrollment ID: I20110222001188 |
| Provider Name | Kelly M Borreson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043511058 PECOS PAC ID: 4385825298 Enrollment ID: I20110225000355 |
| Provider Name | Brent D Jorud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619064029 PECOS PAC ID: 4789865411 Enrollment ID: I20110228000899 |
| Provider Name | Daniel Lee Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548578065 PECOS PAC ID: 7618150236 Enrollment ID: I20110319000035 |
| Provider Name | Matthew a Hofkens |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568605210 PECOS PAC ID: 9931383635 Enrollment ID: I20110404000871 |
| Provider Name | Garry M Banks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649220849 PECOS PAC ID: 3678468998 Enrollment ID: I20110406000879 |
| Provider Name | Melissa C Olson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720054752 PECOS PAC ID: 4486687613 Enrollment ID: I20110504000669 |
| Provider Name | William C Whisler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790768364 PECOS PAC ID: 7517867757 Enrollment ID: I20110512000226 |
| Provider Name | Katherine Marie Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184816506 PECOS PAC ID: 0941486237 Enrollment ID: I20110523000194 |
| Provider Name | Benjamin E Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326332636 PECOS PAC ID: 2365620457 Enrollment ID: I20110620000191 |
| Provider Name | Stephanie S Skeba |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669765566 PECOS PAC ID: 8527246081 Enrollment ID: I20110705000084 |
| Provider Name | Nicole M Dahmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427286426 PECOS PAC ID: 8325216302 Enrollment ID: I20110718000577 |
| Provider Name | Scott Myron Holthusen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093924276 PECOS PAC ID: 7214069442 Enrollment ID: I20110722000244 |
| Provider Name | Daniel J Marek |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1912190075 PECOS PAC ID: 3375711104 Enrollment ID: I20110722000269 |
| Provider Name | Shauna M Pankratz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528353711 PECOS PAC ID: 3476722760 Enrollment ID: I20110802000650 |
| Provider Name | Nicole J Weiers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740578699 PECOS PAC ID: 5799955795 Enrollment ID: I20110831000133 |
| Provider Name | Julie E Wenda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114215977 PECOS PAC ID: 8921278854 Enrollment ID: I20110831000559 |
| Provider Name | Eric M Seppelt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851687826 PECOS PAC ID: 3971773573 Enrollment ID: I20110908001767 |
| Provider Name | Kimberly C Naruko Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780881532 PECOS PAC ID: 4880865948 Enrollment ID: I20110921000230 |
| Provider Name | Lauren a Callahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477711158 PECOS PAC ID: 4284805177 Enrollment ID: I20110926000808 |
| Provider Name | Andrea L Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780962381 PECOS PAC ID: 8628240199 Enrollment ID: I20111004000881 |
| Provider Name | Kelin E Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528265378 PECOS PAC ID: 8022280122 Enrollment ID: I20111014000326 |
| Provider Name | Nicole a Weir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225316771 PECOS PAC ID: 1153594882 Enrollment ID: I20111025000708 |
| Provider Name | Katherine F Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932489580 PECOS PAC ID: 8224201835 Enrollment ID: I20111026000902 |
| Provider Name | Maria C Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306163571 PECOS PAC ID: 8921271271 Enrollment ID: I20111101000569 |
| Provider Name | Steven W Kraushaar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841578325 PECOS PAC ID: 4880867977 Enrollment ID: I20111107000253 |
| Provider Name | Michelle a Reiner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437225125 PECOS PAC ID: 7517075856 Enrollment ID: I20111111000488 |
| Provider Name | Carly L. Mattson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467735407 PECOS PAC ID: 4486828282 Enrollment ID: I20111112000075 |
| Provider Name | Erin Renee Maguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427029131 PECOS PAC ID: 3577582121 Enrollment ID: I20111130000104 |
| Provider Name | Heidi C Natterstad |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982889275 PECOS PAC ID: 0547435513 Enrollment ID: I20111203000045 |
| Provider Name | Joshua K Rolfes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770862187 PECOS PAC ID: 3274706767 Enrollment ID: I20111212000514 |
| Provider Name | Brenna a Rutherford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497040026 PECOS PAC ID: 5496920514 Enrollment ID: I20111219000340 |
| Provider Name | Sarah a Docken |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164705158 PECOS PAC ID: 6507032307 Enrollment ID: I20111228000651 |
| Provider Name | Thaddaeus Tewes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316241888 PECOS PAC ID: 3072790799 Enrollment ID: I20120107000000 |
| Provider Name | Angie R Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376549436 PECOS PAC ID: 3577553809 Enrollment ID: I20120109000898 |
| Provider Name | Claire E Rathburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932482064 PECOS PAC ID: 9830366673 Enrollment ID: I20120119000730 |
| Provider Name | Lucas C Glynn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699042416 PECOS PAC ID: 8729255328 Enrollment ID: I20120123000703 |
| Provider Name | Matthew F Omahoney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124201330 PECOS PAC ID: 9931361847 Enrollment ID: I20120509000655 |
| Provider Name | Marty M Mertens |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558555896 PECOS PAC ID: 6406019587 Enrollment ID: I20120530000297 |
| Provider Name | Jacob J Haws |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811263551 PECOS PAC ID: 3577728567 Enrollment ID: I20120625000449 |
| Provider Name | Peter C Sanders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972734820 PECOS PAC ID: 4082879549 Enrollment ID: I20120706000498 |
| Provider Name | Jamie N Kain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144585365 PECOS PAC ID: 8628224755 Enrollment ID: I20120806000690 |
| Provider Name | Adam J Bakker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1538359757 PECOS PAC ID: 1658528021 Enrollment ID: I20120821000350 |
| Provider Name | Nicholas J Meath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881954766 PECOS PAC ID: 3476700337 Enrollment ID: I20120828000558 |
| Provider Name | To Uyen T Pham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093074528 PECOS PAC ID: 1557518164 Enrollment ID: I20120904000098 |
| Provider Name | Rachel a Brang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114286911 PECOS PAC ID: 8426204488 Enrollment ID: I20120913000827 |
| Provider Name | Ashley Emiko Takekawa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750646048 PECOS PAC ID: 6901055003 Enrollment ID: I20121004000863 |
| Provider Name | Kjerstin L Foss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770845927 PECOS PAC ID: 1951551746 Enrollment ID: I20121102000108 |
| Provider Name | Maggie L Dewitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447506522 PECOS PAC ID: 4183875370 Enrollment ID: I20121116000281 |
| Provider Name | Ashley K Ganser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174878508 PECOS PAC ID: 7719138890 Enrollment ID: I20121120000061 |
| Provider Name | Nicole a Wheeler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669728440 PECOS PAC ID: 8527219500 Enrollment ID: I20121126000202 |
| Provider Name | Craig a Ringsven |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336334374 PECOS PAC ID: 4082866124 Enrollment ID: I20121218000302 |
| Provider Name | Andrew a Link |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831443480 PECOS PAC ID: 3476707548 Enrollment ID: I20130128000113 |
| Provider Name | Crystal D Tainter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669563292 PECOS PAC ID: 5395999395 Enrollment ID: I20130128000526 |
| Provider Name | Peter David Aggen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376560706 PECOS PAC ID: 2860426129 Enrollment ID: I20130220000227 |
| Provider Name | Megan P Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578865952 PECOS PAC ID: 2466638598 Enrollment ID: I20130228000460 |
| Provider Name | Trisha K Burt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134475775 PECOS PAC ID: 1456506179 Enrollment ID: I20130304000386 |
| Provider Name | Brandon J Weinzierl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952640799 PECOS PAC ID: 8820243264 Enrollment ID: I20130308000423 |
| Provider Name | Seth D Engberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699010132 PECOS PAC ID: 8022263268 Enrollment ID: I20130326000496 |
| Provider Name | Christian a Dawson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073870812 PECOS PAC ID: 3173760238 Enrollment ID: I20130508000428 |
| Provider Name | Mark L Thurnbeck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285722355 PECOS PAC ID: 4880831692 Enrollment ID: I20130515000642 |
| Provider Name | Dimitrios Nicholas Minadakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063852085 PECOS PAC ID: 4183865066 Enrollment ID: I20130719000401 |
| Provider Name | Michael J Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407032204 PECOS PAC ID: 0446491013 Enrollment ID: I20130724000157 |
| Provider Name | Kelsey J Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881037679 PECOS PAC ID: 1951542562 Enrollment ID: I20130724000654 |
| Provider Name | Eric M Deal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326242371 PECOS PAC ID: 1658528088 Enrollment ID: I20130802000082 |
| Provider Name | Christopher a Romanowicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588005417 PECOS PAC ID: 5698917565 Enrollment ID: I20130806000834 |
| Provider Name | Amy T Moeller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578706610 PECOS PAC ID: 5496902561 Enrollment ID: I20130813000933 |
| Provider Name | Brian P Bjerke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043445612 PECOS PAC ID: 0547416133 Enrollment ID: I20130813000966 |
| Provider Name | Laura C Sampers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336582691 PECOS PAC ID: 6103068341 Enrollment ID: I20130816000707 |
| Provider Name | Jeffrey D Seybold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730390238 PECOS PAC ID: 6709020050 Enrollment ID: I20130926000521 |
| Provider Name | Jason S Holm |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184832578 PECOS PAC ID: 9335397413 Enrollment ID: I20130930000595 |
| Provider Name | Maura M Hartigan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720344203 PECOS PAC ID: 2860627742 Enrollment ID: I20131031000097 |
| Provider Name | Karen E Edmonson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144517509 PECOS PAC ID: 5294905287 Enrollment ID: I20131112001661 |
| Provider Name | Leah M Edquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376976639 PECOS PAC ID: 3971739970 Enrollment ID: I20131121001818 |
| Provider Name | Bryan D Dejarlais |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730515719 PECOS PAC ID: 8426284043 Enrollment ID: I20131203001777 |
| Provider Name | Steven P Churchill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659601508 PECOS PAC ID: 8123151115 Enrollment ID: I20131217000024 |
| Provider Name | Jeffrey Kent Sletten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891934188 PECOS PAC ID: 0345401006 Enrollment ID: I20131217000127 |
| Provider Name | Erik G Peterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417289216 PECOS PAC ID: 4284861048 Enrollment ID: I20131226001089 |
| Provider Name | Ashley M Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841626827 PECOS PAC ID: 8820226111 Enrollment ID: I20140113001063 |
| Provider Name | Abby K Lipanot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174945315 PECOS PAC ID: 3779711635 Enrollment ID: I20140123000046 |
| Provider Name | Michele L Jacobson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487751558 PECOS PAC ID: 8426286246 Enrollment ID: I20140124000031 |
| Provider Name | Jill M Bowman Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770876682 PECOS PAC ID: 4789814666 Enrollment ID: I20140221000588 |
| Provider Name | Mark D Schroeckenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427101286 PECOS PAC ID: 7517114424 Enrollment ID: I20140224001651 |
| Provider Name | Krista L Siewert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538444062 PECOS PAC ID: 3870723562 Enrollment ID: I20140225000627 |
| Provider Name | Travis J Rasinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700010931 PECOS PAC ID: 9638309941 Enrollment ID: I20140306002054 |
| Provider Name | Lindsey J Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326462607 PECOS PAC ID: 7911138078 Enrollment ID: I20140402002448 |
| Provider Name | A B M Masudur Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295027514 PECOS PAC ID: 5496987364 Enrollment ID: I20140407002096 |
| Provider Name | Adam R Burmeister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790712826 PECOS PAC ID: 1951380138 Enrollment ID: I20140423000028 |
| Provider Name | Alyssa M Hardy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417376856 PECOS PAC ID: 8729211222 Enrollment ID: I20140508000649 |
| Provider Name | Jake R Foley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912330150 PECOS PAC ID: 0749403780 Enrollment ID: I20140521000494 |
| Provider Name | Katie N Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891101838 PECOS PAC ID: 3678799525 Enrollment ID: I20140729002499 |
| Provider Name | Staci Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396158309 PECOS PAC ID: 7315164498 Enrollment ID: I20140813002196 |
| Provider Name | Therese B Pederson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336550979 PECOS PAC ID: 1355568189 Enrollment ID: I20140819000026 |
| Provider Name | Erik J Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174766505 PECOS PAC ID: 5395969786 Enrollment ID: I20140829001812 |
| Provider Name | David M Bowman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982018743 PECOS PAC ID: 8527287895 Enrollment ID: I20140918001126 |
| Provider Name | Gregory J Gunderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649426438 PECOS PAC ID: 2567530744 Enrollment ID: I20140923002092 |
| Provider Name | Matthew S Butterfield |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629209598 PECOS PAC ID: 5395981633 Enrollment ID: I20140929002045 |
| Provider Name | Jonathan M Hauff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518308956 PECOS PAC ID: 7214157064 Enrollment ID: I20140930001676 |
| Provider Name | Courtney L Kovacs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528477197 PECOS PAC ID: 0547480964 Enrollment ID: I20141008000069 |
| Provider Name | Kimberly L Gustafson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154722346 PECOS PAC ID: 0840410163 Enrollment ID: I20141008000451 |
| Provider Name | Maria S Hoglund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790194363 PECOS PAC ID: 7416177704 Enrollment ID: I20141009000123 |
| Provider Name | Kyle R Sell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437567682 PECOS PAC ID: 7315168499 Enrollment ID: I20141015001595 |
| Provider Name | Keyla J Guenther |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184023517 PECOS PAC ID: 5991926958 Enrollment ID: I20141016002306 |
| Provider Name | Bridgett a Bonte-chun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861764557 PECOS PAC ID: 0941451074 Enrollment ID: I20141027000238 |
| Provider Name | Jacquelyn L Conley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447694013 PECOS PAC ID: 3971724162 Enrollment ID: I20141103000710 |
| Provider Name | Erin L Hanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871886523 PECOS PAC ID: 3577785542 Enrollment ID: I20141106000488 |
| Provider Name | Angela L Hauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013311463 PECOS PAC ID: 4789806498 Enrollment ID: I20141113001102 |
| Provider Name | Haley Bawek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497161913 PECOS PAC ID: 2769704832 Enrollment ID: I20141126000696 |
| Provider Name | Matthew R Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376955971 PECOS PAC ID: 5496975955 Enrollment ID: I20150122000229 |
| Provider Name | Michael a Steiner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376931527 PECOS PAC ID: 5294050373 Enrollment ID: I20150212000558 |
| Provider Name | Leah Toth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376712885 PECOS PAC ID: 0042396806 Enrollment ID: I20150226000967 |
| Provider Name | Michael a Shirilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205977576 PECOS PAC ID: 7810153590 Enrollment ID: I20150423001526 |
| Provider Name | Rachael L Ottum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043643505 PECOS PAC ID: 0042530081 Enrollment ID: I20150514002502 |
| Provider Name | Michele M Ducharme Rauma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134509300 PECOS PAC ID: 9133430994 Enrollment ID: I20150619001110 |
| Provider Name | Jessica T Thueringer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497073852 PECOS PAC ID: 9133440456 Enrollment ID: I20150623001481 |
| Provider Name | David Charles Eggert |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003058496 PECOS PAC ID: 3577780535 Enrollment ID: I20150713001051 |
| Provider Name | Katrina Kneeskern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619356409 PECOS PAC ID: 7214241249 Enrollment ID: I20150804004022 |
| Provider Name | Jenna E Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245614247 PECOS PAC ID: 0042525024 Enrollment ID: I20150820009607 |
| Provider Name | Robin J OU Yang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164736195 PECOS PAC ID: 7113232109 Enrollment ID: I20150820009921 |
| Provider Name | Joy a Hasseler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265721906 PECOS PAC ID: 2466767371 Enrollment ID: I20150820010816 |
| Provider Name | Kristina L Withers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760726053 PECOS PAC ID: 9032363270 Enrollment ID: I20150825002900 |
| Provider Name | Kristin a Weimerskirch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548640527 PECOS PAC ID: 2466768205 Enrollment ID: I20150825003620 |
| Provider Name | Katelyn M Cayton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740666742 PECOS PAC ID: 8325354822 Enrollment ID: I20150828001476 |
| Provider Name | Jennifer P Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194101402 PECOS PAC ID: 5193031631 Enrollment ID: I20150831000213 |
| Provider Name | Scott J Gorham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831575299 PECOS PAC ID: 2062728462 Enrollment ID: I20150831002389 |
| Provider Name | Marissa L Wojcik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346617925 PECOS PAC ID: 6103133483 Enrollment ID: I20150918001219 |
| Provider Name | Jennifer L Smidl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508233230 PECOS PAC ID: 3072820026 Enrollment ID: I20150923002375 |
| Provider Name | Kristine Marie Zwieg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851761738 PECOS PAC ID: 6709195589 Enrollment ID: I20151016002068 |
| Provider Name | Kelly Lynn Vanderheyden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598135287 PECOS PAC ID: 3274842802 Enrollment ID: I20151022001531 |
| Provider Name | Ashley M Zaudke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447622212 PECOS PAC ID: 5597075648 Enrollment ID: I20151102002677 |
| Provider Name | Courtney L Perpich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770953473 PECOS PAC ID: 9931419983 Enrollment ID: I20151104000787 |
| Provider Name | Nathan Kei Proft |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528438207 PECOS PAC ID: 7113237074 Enrollment ID: I20151104001659 |
| Provider Name | Meredith Saylor Baker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023245701 PECOS PAC ID: 9739328964 Enrollment ID: I20151215001505 |
| Provider Name | Kirstyn Hedahl Fulton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891955647 PECOS PAC ID: 7911209960 Enrollment ID: I20160107001145 |
| Provider Name | Brett W Petersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295008761 PECOS PAC ID: 6901102862 Enrollment ID: I20160303000414 |
| Provider Name | Amanda L Tschida-schirmers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508007667 PECOS PAC ID: 3678879350 Enrollment ID: I20160307000483 |
| Provider Name | Danielle M Stark |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255798757 PECOS PAC ID: 0244536522 Enrollment ID: I20160314000090 |
| Provider Name | Virginia C Borrman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467810135 PECOS PAC ID: 3173829207 Enrollment ID: I20160315002334 |
| Provider Name | Marc W Nolan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679916837 PECOS PAC ID: 8224335633 Enrollment ID: I20160330001915 |
| Provider Name | Ann M Frett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902838576 PECOS PAC ID: 8426356510 Enrollment ID: I20160405001896 |
| Provider Name | Izaak P Schafer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629432919 PECOS PAC ID: 1850699083 Enrollment ID: I20160421000005 |
| Provider Name | Carin J Wulf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730153792 PECOS PAC ID: 9436448727 Enrollment ID: I20160509002430 |
| Provider Name | Lilliana B Lind |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659627719 PECOS PAC ID: 7214227933 Enrollment ID: I20160608000396 |
| Provider Name | Nicole Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013377308 PECOS PAC ID: 3678865102 Enrollment ID: I20160701001120 |
| Provider Name | Jacqueline C Gierok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447688528 PECOS PAC ID: 4183916125 Enrollment ID: I20160712000618 |
| Provider Name | Jason a Pates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376742346 PECOS PAC ID: 5395938062 Enrollment ID: I20160721001147 |
| Provider Name | Nathan R Wanderman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033598321 PECOS PAC ID: 1052622701 Enrollment ID: I20160726001438 |
| Provider Name | William C Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366898371 PECOS PAC ID: 6709179641 Enrollment ID: I20160729000555 |
| Provider Name | Sarah Bou Malham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720392590 PECOS PAC ID: 8426280124 Enrollment ID: I20160802000164 |
| Provider Name | Kathryn M Isaacson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104277318 PECOS PAC ID: 1355635053 Enrollment ID: I20160803000904 |
| Provider Name | Allison M Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326384223 PECOS PAC ID: 6406095538 Enrollment ID: I20160803001080 |
| Provider Name | John Clinton Tanner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780882662 PECOS PAC ID: 2062656580 Enrollment ID: I20160809001843 |
| Provider Name | Gregory M Deyak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255783999 PECOS PAC ID: 9739473968 Enrollment ID: I20160810001216 |
| Provider Name | Kristen a Akervik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467804252 PECOS PAC ID: 7517251705 Enrollment ID: I20160811000103 |
| Provider Name | Sarah K Tillman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558624171 PECOS PAC ID: 7810286564 Enrollment ID: I20160817000087 |
| Provider Name | Margaret a Sweeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154687093 PECOS PAC ID: 0042515389 Enrollment ID: I20160822001012 |
| Provider Name | Luke a Wernberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912350265 PECOS PAC ID: 5193010338 Enrollment ID: I20160826000303 |
| Provider Name | Zachary P Arntson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396056842 PECOS PAC ID: 2163730706 Enrollment ID: I20160830000797 |
| Provider Name | Emily M Schnabl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891147989 PECOS PAC ID: 0143516153 Enrollment ID: I20160830003163 |
| Provider Name | Jennifer Sackrison Metherd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093072340 PECOS PAC ID: 2860621422 Enrollment ID: I20160912001262 |
| Provider Name | Megan Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184177479 PECOS PAC ID: 8123314416 Enrollment ID: I20160913001737 |
| Provider Name | Nathaniel L Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104373117 PECOS PAC ID: 2163719162 Enrollment ID: I20160919002081 |
| Provider Name | Ryan W Hess |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548467970 PECOS PAC ID: 4385890391 Enrollment ID: I20160920000085 |
| Provider Name | Daniel B Stark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790230688 PECOS PAC ID: 9436446903 Enrollment ID: I20160927001758 |
| Provider Name | Braidy S Solie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144774456 PECOS PAC ID: 2860789096 Enrollment ID: I20161003000197 |
| Provider Name | Jonathan H Schoenecker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205289899 PECOS PAC ID: 1850688029 Enrollment ID: I20161003001511 |
| Provider Name | Jared Daniel Venier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588113740 PECOS PAC ID: 0345538229 Enrollment ID: I20161007001785 |
| Provider Name | Sally a Hutson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639423528 PECOS PAC ID: 7012205842 Enrollment ID: I20161011003111 |
| Provider Name | Brittany E Wirth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831646348 PECOS PAC ID: 6901194612 Enrollment ID: I20161013000066 |
| Provider Name | Katelyn Marie Kubat Money |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184179780 PECOS PAC ID: 2062700362 Enrollment ID: I20161019000061 |
| Provider Name | Krystan a Coyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265493977 PECOS PAC ID: 3072527407 Enrollment ID: I20161025001069 |
| Provider Name | Kalli a Shades |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356790273 PECOS PAC ID: 7416235551 Enrollment ID: I20161025001492 |
| Provider Name | Stephanie R Barnhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013369669 PECOS PAC ID: 3274811211 Enrollment ID: I20161026002601 |
| Provider Name | Nathan J Dumm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134677354 PECOS PAC ID: 6608154398 Enrollment ID: I20161101000714 |
| Provider Name | Autumn L Swiger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205923208 PECOS PAC ID: 1052310323 Enrollment ID: I20161109002874 |
| Provider Name | Jennifer E Trace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942758602 PECOS PAC ID: 3870872732 Enrollment ID: I20161116002017 |
| Provider Name | Lukas David Cash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326580549 PECOS PAC ID: 5698054310 Enrollment ID: I20161118002358 |
| Provider Name | Katlyn S Schmitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295286425 PECOS PAC ID: 1254611684 Enrollment ID: I20161201000372 |
| Provider Name | Lisa S Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811430952 PECOS PAC ID: 2668752700 Enrollment ID: I20161207002688 |
| Provider Name | Joseph S Bert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760776512 PECOS PAC ID: 8022241652 Enrollment ID: I20161219000400 |
| Provider Name | Steven D Lindblom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356895817 PECOS PAC ID: 0143501544 Enrollment ID: I20161222001598 |
| Provider Name | Jaimi Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598730541 PECOS PAC ID: 9830470798 Enrollment ID: I20170109000505 |
| Provider Name | Grant W Blasczyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811439748 PECOS PAC ID: 2365724721 Enrollment ID: I20170119000532 |
| Provider Name | Kelli Michelle Cannata |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912358219 PECOS PAC ID: 7618261694 Enrollment ID: I20170123002102 |
| Provider Name | Brady P Griffith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700328689 PECOS PAC ID: 5799068250 Enrollment ID: I20170207000673 |
| Provider Name | Ryane L Lester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538471065 PECOS PAC ID: 9537348651 Enrollment ID: I20170214001873 |
| Provider Name | Erica B Shearer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295855765 PECOS PAC ID: 8820157423 Enrollment ID: I20170306000440 |
| Provider Name | Sarah W Sarnowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023427630 PECOS PAC ID: 4981988979 Enrollment ID: I20170313001338 |
| Provider Name | Catherine R Hubler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801332499 PECOS PAC ID: 2567747595 Enrollment ID: I20170314000721 |
| Provider Name | Ashley M Rundle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720468697 PECOS PAC ID: 9133404171 Enrollment ID: I20170314001395 |
| Provider Name | Jami T Lang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255877031 PECOS PAC ID: 1456636703 Enrollment ID: I20170328002636 |
| Provider Name | Sara M Norseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619349214 PECOS PAC ID: 7719263490 Enrollment ID: I20170412000248 |
| Provider Name | Justin R Nicol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043601784 PECOS PAC ID: 3375829971 Enrollment ID: I20170414000104 |
| Provider Name | Dawn M Bozicevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659386266 PECOS PAC ID: 5698051092 Enrollment ID: I20170420000177 |
| Provider Name | Cecily I Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083149512 PECOS PAC ID: 6204113822 Enrollment ID: I20170509002619 |
| Provider Name | Sierra Jeanne Kahler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245765072 PECOS PAC ID: 0143507558 Enrollment ID: I20170511001088 |
| Provider Name | Brianna K Randall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164954020 PECOS PAC ID: 7214204353 Enrollment ID: I20170522001132 |
| Provider Name | Eric Christian Busse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861780942 PECOS PAC ID: 1850522533 Enrollment ID: I20170531001443 |
| Provider Name | Brianna M Bosma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831629849 PECOS PAC ID: 3476822297 Enrollment ID: I20170710002116 |
| Provider Name | Aaron R Solseth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902951494 PECOS PAC ID: 5092085811 Enrollment ID: I20170726002496 |
| Provider Name | Kaci M Traczyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154850659 PECOS PAC ID: 8921379272 Enrollment ID: I20170803003503 |
| Provider Name | Grant M Kaper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497277982 PECOS PAC ID: 8527339415 Enrollment ID: I20170811000295 |
| Provider Name | Jessie Lauren Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255860268 PECOS PAC ID: 3375814130 Enrollment ID: I20170812000426 |
| Provider Name | Jaimi L Weber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336594498 PECOS PAC ID: 4587958095 Enrollment ID: I20170821003523 |
| Provider Name | Erin N Hennen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881037356 PECOS PAC ID: 6608149331 Enrollment ID: I20170831002155 |
| Provider Name | Bradley Keller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710402854 PECOS PAC ID: 6800160805 Enrollment ID: I20170914000721 |
| Provider Name | Mary a Koch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164949715 PECOS PAC ID: 8426322462 Enrollment ID: I20170914002719 |
| Provider Name | Jozef Murar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841583259 PECOS PAC ID: 6002111978 Enrollment ID: I20170920000215 |
| Provider Name | Melanie R Kielsa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891222709 PECOS PAC ID: 4183998776 Enrollment ID: I20170920002494 |
| Provider Name | Kevin J Murphy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023533999 PECOS PAC ID: 8325312937 Enrollment ID: I20170920003604 |
| Provider Name | Jacob a Wendt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730621095 PECOS PAC ID: 1759655293 Enrollment ID: I20170921001178 |
| Provider Name | Bethany R Baron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306362140 PECOS PAC ID: 0446524912 Enrollment ID: I20170921002231 |
| Provider Name | Elizabeth Keller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588187462 PECOS PAC ID: 1658645973 Enrollment ID: I20170925002006 |
| Provider Name | Erin T Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477074854 PECOS PAC ID: 1254605397 Enrollment ID: I20170927004515 |
| Provider Name | Nicole M Giebenhain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255858205 PECOS PAC ID: 7810262987 Enrollment ID: I20170929001875 |
| Provider Name | Brianna M. Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205389798 PECOS PAC ID: 1355636531 Enrollment ID: I20171009002044 |
| Provider Name | Breanna N Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386161552 PECOS PAC ID: 4082989546 Enrollment ID: I20171009003222 |
| Provider Name | Suzanne G Weinberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053384511 PECOS PAC ID: 5698040863 Enrollment ID: I20171013002979 |
| Provider Name | Nathanael S Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619275278 PECOS PAC ID: 5799913901 Enrollment ID: I20171101001044 |
| Provider Name | Andrea M Wendt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922544162 PECOS PAC ID: 3779849062 Enrollment ID: I20171101002687 |
| Provider Name | Anna N Hergert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649243171 PECOS PAC ID: 0648536300 Enrollment ID: I20171113002273 |
| Provider Name | Julie Rezac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063922516 PECOS PAC ID: 6901162452 Enrollment ID: I20171116000013 |
| Provider Name | Dylan R Moen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457860348 PECOS PAC ID: 5395001861 Enrollment ID: I20171116000860 |
| Provider Name | Kathryn R Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972903839 PECOS PAC ID: 1951522325 Enrollment ID: I20171120000903 |
| Provider Name | Timothy T Hafemeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639467988 PECOS PAC ID: 6305103391 Enrollment ID: I20171129002301 |
| Provider Name | Brian R Holst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356850515 PECOS PAC ID: 1658638481 Enrollment ID: I20171201002139 |
| Provider Name | Katie L Ehlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700138195 PECOS PAC ID: 3779841747 Enrollment ID: I20171220002281 |
| Provider Name | Tyler J Douglass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942714035 PECOS PAC ID: 1052679693 Enrollment ID: I20180103001029 |
| Provider Name | Sean S Dwyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073022372 PECOS PAC ID: 1557620697 Enrollment ID: I20180117001156 |
| Provider Name | Ashton M Makwana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770099103 PECOS PAC ID: 7214296185 Enrollment ID: I20180123000076 |
| Provider Name | Alexander P Niznik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174043012 PECOS PAC ID: 6507125390 Enrollment ID: I20180124002781 |
| Provider Name | Jennifer L Schwab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407016892 PECOS PAC ID: 6608025499 Enrollment ID: I20180205001206 |
| Provider Name | Alison M Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275069676 PECOS PAC ID: 6800154709 Enrollment ID: I20180212000591 |
| Provider Name | Roger L Burtraw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588062988 PECOS PAC ID: 5395005235 Enrollment ID: I20180214000870 |
| Provider Name | Amanda Mickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245744234 PECOS PAC ID: 9739440058 Enrollment ID: I20180301002443 |
| Provider Name | Kristy J Lichtenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134637986 PECOS PAC ID: 4587926704 Enrollment ID: I20180327001984 |
| Provider Name | Brian R Linville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427468735 PECOS PAC ID: 2668693029 Enrollment ID: I20180420002482 |
| Provider Name | Aaron J Klatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023517844 PECOS PAC ID: 8628332152 Enrollment ID: I20180508001920 |
| Provider Name | Kaitlyn a Sylvers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548761729 PECOS PAC ID: 4880959048 Enrollment ID: I20180517003069 |
| Provider Name | Joshua Allan Albarado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124517677 PECOS PAC ID: 2062767452 Enrollment ID: I20180626003691 |
| Provider Name | Nicole Renee Salfer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982195236 PECOS PAC ID: 3870849813 Enrollment ID: I20180706000094 |
| Provider Name | Brooke M Deshler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154620847 PECOS PAC ID: 5597933416 Enrollment ID: I20180706000996 |
| Provider Name | Joanna Theisen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275024903 PECOS PAC ID: 8224385240 Enrollment ID: I20180723002126 |
| Provider Name | Jesse C Heaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508356361 PECOS PAC ID: 4385991108 Enrollment ID: I20180724003373 |
| Provider Name | Dustin M Schlangen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306299888 PECOS PAC ID: 0648567875 Enrollment ID: I20180726000760 |
| Provider Name | Samantha M Crowley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518451004 PECOS PAC ID: 3779830443 Enrollment ID: I20180726000996 |
| Provider Name | Robalee Lynn Wanderman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1689106429 PECOS PAC ID: 8426320490 Enrollment ID: I20180801002505 |
| Provider Name | Paige E Persch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285052027 PECOS PAC ID: 2860780491 Enrollment ID: I20180807000123 |
| Provider Name | Chee N Vang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043720451 PECOS PAC ID: 8123376084 Enrollment ID: I20180809000006 |
| Provider Name | Scott J Cichos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790261923 PECOS PAC ID: 0941558779 Enrollment ID: I20180809005430 |
| Provider Name | Caitlin R Dewitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679069751 PECOS PAC ID: 1557619277 Enrollment ID: I20180811000048 |
| Provider Name | Ryan P Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366671406 PECOS PAC ID: 8527210624 Enrollment ID: I20180811000193 |
| Provider Name | Sharon Frattalone |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891994067 PECOS PAC ID: 0042508590 Enrollment ID: I20180814001411 |
| Provider Name | Megan Louise Mcchesney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992296222 PECOS PAC ID: 6103175567 Enrollment ID: I20180817000608 |
| Provider Name | Alexandria M Ellingson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790105088 PECOS PAC ID: 4284939455 Enrollment ID: I20180820003275 |
| Provider Name | Samuel J Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013447499 PECOS PAC ID: 3577812601 Enrollment ID: I20180822001265 |
| Provider Name | Kathryn a Medinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518443373 PECOS PAC ID: 1557610649 Enrollment ID: I20180822003717 |
| Provider Name | Alexa M Horning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750868352 PECOS PAC ID: 9032468061 Enrollment ID: I20180823002133 |
| Provider Name | Nathan J Marcus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326532235 PECOS PAC ID: 6103176870 Enrollment ID: I20180830002756 |
| Provider Name | Rachel E Wilson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1437680048 PECOS PAC ID: 0244503225 Enrollment ID: I20180905001441 |
| Provider Name | Kelsie M Janney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932688728 PECOS PAC ID: 1951651314 Enrollment ID: I20180905002015 |
| Provider Name | Kaitlin R Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730673757 PECOS PAC ID: 7810247061 Enrollment ID: I20180910000124 |
| Provider Name | Patrick J Roiger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104314822 PECOS PAC ID: 7214288133 Enrollment ID: I20180915000007 |
| Provider Name | Brian J Gahlon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407341696 PECOS PAC ID: 8820349590 Enrollment ID: I20180919000639 |
| Provider Name | Kelly Jean Okray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861970592 PECOS PAC ID: 8628329331 Enrollment ID: I20180919002265 |
| Provider Name | Brian F Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679950968 PECOS PAC ID: 1153680566 Enrollment ID: I20180919002856 |
| Provider Name | Justin C Boeke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073933321 PECOS PAC ID: 7012212384 Enrollment ID: I20180927001976 |
| Provider Name | Samuel W Carlson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184151524 PECOS PAC ID: 5597038380 Enrollment ID: I20181002002417 |
| Provider Name | Kayla Marie Tackmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700369790 PECOS PAC ID: 5597017467 Enrollment ID: I20181004002070 |
| Provider Name | Daniel P Bergevin-smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316394307 PECOS PAC ID: 2264784446 Enrollment ID: I20181017000397 |
| Provider Name | James a Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093231714 PECOS PAC ID: 4981957883 Enrollment ID: I20181023001326 |
| Provider Name | Kayla M Ashton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578966131 PECOS PAC ID: 8921351644 Enrollment ID: I20181026001248 |
| Provider Name | Marie Y Armstrong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144608480 PECOS PAC ID: 5698087369 Enrollment ID: I20181102000711 |
| Provider Name | Adam K Scofield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639429681 PECOS PAC ID: 8325391568 Enrollment ID: I20181105002804 |
| Provider Name | Jeffrey J Lapanta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932637345 PECOS PAC ID: 2668425810 Enrollment ID: I20181203001863 |
| Provider Name | Ana R Dauschmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740758176 PECOS PAC ID: 8820332505 Enrollment ID: I20181206002067 |
| Provider Name | Christopher J Vandergriff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033686258 PECOS PAC ID: 8224372933 Enrollment ID: I20181206003341 |
| Provider Name | Blake R Huppert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114494606 PECOS PAC ID: 4183968761 Enrollment ID: I20181208000455 |
| Provider Name | Erika Janet Hachey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588146732 PECOS PAC ID: 8527303825 Enrollment ID: I20181214000036 |
| Provider Name | Kayley L Szondy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184986010 PECOS PAC ID: 3173868155 Enrollment ID: I20181219001663 |
| Provider Name | Ashley Marie Overby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144790866 PECOS PAC ID: 7214273929 Enrollment ID: I20190116001952 |
| Provider Name | Meghan F Stommes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366842734 PECOS PAC ID: 2860739745 Enrollment ID: I20190130002702 |
| Provider Name | Peter David Swann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1659437267 PECOS PAC ID: 3678611548 Enrollment ID: I20190315000005 |
| Provider Name | Ashleigh J Kratz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831657428 PECOS PAC ID: 7214278621 Enrollment ID: I20190412000780 |
| Provider Name | Michael Hans Johnson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902063829 PECOS PAC ID: 3577704915 Enrollment ID: I20190429000963 |
| Provider Name | Christopher Andrew Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891218095 PECOS PAC ID: 6103198270 Enrollment ID: I20190510001162 |
| Provider Name | Alexander T Barney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386193035 PECOS PAC ID: 0749568723 Enrollment ID: I20190531000039 |
| Provider Name | Nicole Rae Tombers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396175444 PECOS PAC ID: 5496088668 Enrollment ID: I20190604001424 |
| Provider Name | Weston Obrycki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396303947 PECOS PAC ID: 9739412768 Enrollment ID: I20190606001893 |
| Provider Name | Bryan Alm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659939494 PECOS PAC ID: 3678806189 Enrollment ID: I20190614000153 |
| Provider Name | Mitchell D Peterka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598139388 PECOS PAC ID: 2163724865 Enrollment ID: I20190624001372 |
| Provider Name | Emily Ann Yee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790205805 PECOS PAC ID: 1658605506 Enrollment ID: I20190626001506 |
| Provider Name | Elizabeth Susan George |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871987230 PECOS PAC ID: 2860704319 Enrollment ID: I20190627002371 |
| Provider Name | Christopher Suilmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760047815 PECOS PAC ID: 8426382144 Enrollment ID: I20190628000673 |
| Provider Name | Kathleen a Heimer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902384159 PECOS PAC ID: 4587998190 Enrollment ID: I20190701001588 |
| Provider Name | Taylor N Kuhn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982263190 PECOS PAC ID: 8921333824 Enrollment ID: I20190715003207 |
| Provider Name | Ryan T Ness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881255248 PECOS PAC ID: 4688909245 Enrollment ID: I20190718001656 |
| Provider Name | Andrew C Ockuly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245646983 PECOS PAC ID: 2163770090 Enrollment ID: I20190722003050 |
| Provider Name | Taylor B Schiffler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326600065 PECOS PAC ID: 3577899939 Enrollment ID: I20190724000714 |
| Provider Name | Jennifer L Falcon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548820616 PECOS PAC ID: 7719213172 Enrollment ID: I20190724000826 |
| Provider Name | William M Engasser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366856445 PECOS PAC ID: 2466678057 Enrollment ID: I20190729001513 |
| Provider Name | Sopida Wunder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508425711 PECOS PAC ID: 9537496732 Enrollment ID: I20190812000576 |
| Provider Name | Kyle D Zimmermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578116620 PECOS PAC ID: 8426385592 Enrollment ID: I20190812003966 |
| Provider Name | Rachel E Kneeland |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053773887 PECOS PAC ID: 6002109105 Enrollment ID: I20190822001728 |
| Provider Name | Dana L Cox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790339497 PECOS PAC ID: 4082942941 Enrollment ID: I20190830000180 |
| Provider Name | Katie M Haferman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306145081 PECOS PAC ID: 9739418245 Enrollment ID: I20190909003473 |
| Provider Name | Christine M Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770992042 PECOS PAC ID: 7719216027 Enrollment ID: I20190912000538 |
| Provider Name | Kristi L Demars |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790332294 PECOS PAC ID: 0749510501 Enrollment ID: I20190923001039 |
| Provider Name | Jenna L Coghlan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760039234 PECOS PAC ID: 6901136373 Enrollment ID: I20190927000253 |
| Provider Name | Kelli F Finn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871148742 PECOS PAC ID: 0840520235 Enrollment ID: I20190927001155 |
| Provider Name | Alyssa N Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902153422 PECOS PAC ID: 2860723467 Enrollment ID: I20191014000236 |
| Provider Name | Jay V Ellerbusch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689151185 PECOS PAC ID: 3870824253 Enrollment ID: I20191016002080 |
| Provider Name | Cody R Plaisance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609417351 PECOS PAC ID: 7113259086 Enrollment ID: I20191025000424 |
| Provider Name | Megan L Arceneaux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427610120 PECOS PAC ID: 9234461112 Enrollment ID: I20191025000754 |
| Provider Name | Alexander Kuczwarskyj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437718558 PECOS PAC ID: 1355679879 Enrollment ID: I20191030000744 |
| Provider Name | Mark R Tollefsrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568005619 PECOS PAC ID: 8527390053 Enrollment ID: I20191101000345 |
| Provider Name | Tiffany L Hager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295391696 PECOS PAC ID: 6507198009 Enrollment ID: I20191107001498 |
| Provider Name | Megan J Boe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427690544 PECOS PAC ID: 4183056450 Enrollment ID: I20191107002859 |
| Provider Name | Callie R Hogan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922655547 PECOS PAC ID: 8123450350 Enrollment ID: I20191108002201 |
| Provider Name | Kera Noel Madsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831381003 PECOS PAC ID: 2961835095 Enrollment ID: I20191204000788 |
| Provider Name | Jenna L Szpek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679074546 PECOS PAC ID: 8527491240 Enrollment ID: I20191210001553 |
| Provider Name | Margaret Faust |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063057628 PECOS PAC ID: 3375977267 Enrollment ID: I20191231001781 |
| Provider Name | Stephanie a Ham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013554682 PECOS PAC ID: 8224463898 Enrollment ID: I20200109000816 |
| Provider Name | Aaron K Hulsebus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487293338 PECOS PAC ID: 0345675211 Enrollment ID: I20200123000247 |
| Provider Name | Tamara L Larsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174155519 PECOS PAC ID: 2163850827 Enrollment ID: I20200312001026 |
| Provider Name | Brianne E Lund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801435391 PECOS PAC ID: 3375971591 Enrollment ID: I20200320002075 |
| Provider Name | Ryan M Helf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972137081 PECOS PAC ID: 4587093562 Enrollment ID: I20200327000349 |
| Provider Name | Nichole a Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164514170 PECOS PAC ID: 7810947942 Enrollment ID: I20200401001554 |
| Provider Name | Kendra G Bartsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275593493 PECOS PAC ID: 9335248814 Enrollment ID: I20200428001303 |
| Provider Name | Emilee Kay Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053931964 PECOS PAC ID: 8123459344 Enrollment ID: I20200504000207 |
| Provider Name | Jesse Michael Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750916763 PECOS PAC ID: 8325479223 Enrollment ID: I20200508002174 |
| Provider Name | Heather Marie Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073157863 PECOS PAC ID: 1557792959 Enrollment ID: I20200520000295 |
| Provider Name | Adan M Omar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699169615 PECOS PAC ID: 8224388111 Enrollment ID: I20200616001642 |
| Provider Name | Brittany Michelle White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568085801 PECOS PAC ID: 8022431535 Enrollment ID: I20200630003024 |
| Provider Name | Ryan J Hoel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194135863 PECOS PAC ID: 6406150218 Enrollment ID: I20200714003071 |
| Provider Name | Eric Samuli Miller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134514201 PECOS PAC ID: 9537453196 Enrollment ID: I20200803002718 |
| Provider Name | Matthew C Lund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447880612 PECOS PAC ID: 4587089701 Enrollment ID: I20200805002323 |
| Provider Name | Marcus J Mittelsteadt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215347117 PECOS PAC ID: 5092019810 Enrollment ID: I20200819002566 |
| Provider Name | Taylor N.E. Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588275242 PECOS PAC ID: 1658798921 Enrollment ID: I20200901001682 |
| Provider Name | Katelyn O'keefe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083075865 PECOS PAC ID: 4789002049 Enrollment ID: I20200918000022 |
| Provider Name | Molly Elizabeth Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730719113 PECOS PAC ID: 4284053851 Enrollment ID: I20200930003226 |
| Provider Name | Christine Marie Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841804952 PECOS PAC ID: 7719306299 Enrollment ID: I20201001003537 |
| Provider Name | Megan T Ocel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336750488 PECOS PAC ID: 3870913064 Enrollment ID: I20201008001414 |
| Provider Name | Kaitlyn M Rolando |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811506470 PECOS PAC ID: 5092133959 Enrollment ID: I20201008001472 |
| Provider Name | Mark Steven Weigand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346847597 PECOS PAC ID: 2365862109 Enrollment ID: I20201019000020 |
| Provider Name | Carli Marie Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164029419 PECOS PAC ID: 4789004326 Enrollment ID: I20201020001250 |
| Provider Name | Jeremy O'keefe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093371775 PECOS PAC ID: 9436483054 Enrollment ID: I20201104000572 |
| Provider Name | Benjamin Sam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629639893 PECOS PAC ID: 8628488285 Enrollment ID: I20201110002103 |
| Provider Name | Dancia Rebecca Martens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033734207 PECOS PAC ID: 8022429273 Enrollment ID: I20201119002750 |
| Provider Name | Brittani Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831719558 PECOS PAC ID: 2769894781 Enrollment ID: I20201216002101 |
| Provider Name | Shelby N Webber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003476094 PECOS PAC ID: 4789014945 Enrollment ID: I20210114000183 |
| Provider Name | Kalie S Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457739773 PECOS PAC ID: 1456765049 Enrollment ID: I20210121002029 |
| Provider Name | Lauren Kensey Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437748613 PECOS PAC ID: 0345654646 Enrollment ID: I20210128000128 |
| Provider Name | Carolyn C Majkrzak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497343511 PECOS PAC ID: 5991110587 Enrollment ID: I20210211002454 |
| Provider Name | Michaela Rose Patton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932754538 PECOS PAC ID: 1153736749 Enrollment ID: I20210211002512 |
| Provider Name | Kelsey J Majerus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427575208 PECOS PAC ID: 4688947708 Enrollment ID: I20210220000118 |
| Provider Name | Wade Swoboda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578109765 PECOS PAC ID: 6204241110 Enrollment ID: I20210225003384 |
| Provider Name | Madalyn Marie Carlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821630658 PECOS PAC ID: 2961817846 Enrollment ID: I20210227000153 |
| Provider Name | Rebecca Lynn Rasche |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184217622 PECOS PAC ID: 3375959216 Enrollment ID: I20210301002433 |
| Provider Name | Dulcey Van Calligan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598358095 PECOS PAC ID: 9739595505 Enrollment ID: I20210303001814 |
| Provider Name | Margaret Michele Dolan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477077824 PECOS PAC ID: 7618384637 Enrollment ID: I20210318000935 |
| Provider Name | Chad Lee Stencel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043814239 PECOS PAC ID: 3678980570 Enrollment ID: I20210319001814 |
| Provider Name | Kollin Douglas Michels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871188623 PECOS PAC ID: 6901213446 Enrollment ID: I20210329001448 |
| Provider Name | Amanda Louise Stanhope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548845332 PECOS PAC ID: 6800203993 Enrollment ID: I20210408001447 |
| Provider Name | Anne E Drabot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679189021 PECOS PAC ID: 7810305109 Enrollment ID: I20210427001158 |
| Provider Name | Adam Urick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912424037 PECOS PAC ID: 4284970369 Enrollment ID: I20210429001619 |
| Provider Name | Mark Robert Loscheider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396327581 PECOS PAC ID: 4183033111 Enrollment ID: I20210504001783 |
| Provider Name | Robin Jean Prugno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891148037 PECOS PAC ID: 9537497557 Enrollment ID: I20210519002868 |
| Provider Name | Melinda L Zhang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760918353 PECOS PAC ID: 9537431192 Enrollment ID: I20210520002274 |
| Provider Name | Lucas Blanchard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932774874 PECOS PAC ID: 9436558996 Enrollment ID: I20210603001131 |
| Provider Name | Matthew Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568038149 PECOS PAC ID: 2264832401 Enrollment ID: I20210610000429 |
| Provider Name | Sydney R Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427678366 PECOS PAC ID: 0345641874 Enrollment ID: I20210622001705 |
| Provider Name | Adam J Michalik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558713115 PECOS PAC ID: 6305197872 Enrollment ID: I20210623001815 |
| Provider Name | Deirdre Michelle Moes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427289099 PECOS PAC ID: 7416358635 Enrollment ID: I20210625001044 |
| Provider Name | Maren Elizabeth Kleopfer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538792080 PECOS PAC ID: 5799186847 Enrollment ID: I20210625002059 |
| Provider Name | Rachel M.R. Gorham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487278214 PECOS PAC ID: 9133521669 Enrollment ID: I20210707001109 |
| Provider Name | Hanwen Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609443266 PECOS PAC ID: 2264834043 Enrollment ID: I20210715004085 |
| Provider Name | Gregory Robert Sheldon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841869880 PECOS PAC ID: 1850794363 Enrollment ID: I20210721002801 |
| Provider Name | Adam T Thacker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386215648 PECOS PAC ID: 8921401068 Enrollment ID: I20210727001143 |
| Provider Name | Andrew M Schmiesing |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659758613 PECOS PAC ID: 8224333455 Enrollment ID: I20210729002077 |
| Provider Name | Isabella K Luick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134792575 PECOS PAC ID: 5698178481 Enrollment ID: I20210731000008 |
| Provider Name | Isabel E Essler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083242317 PECOS PAC ID: 7315341757 Enrollment ID: I20210809000294 |
| Provider Name | Christopher Eric Honstad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174917009 PECOS PAC ID: 5991086209 Enrollment ID: I20210812000331 |
| Provider Name | Leah Nicole Hammer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508430323 PECOS PAC ID: 0143624007 Enrollment ID: I20210814000007 |
| Provider Name | Christina K Luebke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114555166 PECOS PAC ID: 6305241852 Enrollment ID: I20210820001273 |
| Provider Name | Hayley Anne Accola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134642705 PECOS PAC ID: 8527463819 Enrollment ID: I20210825001230 |
| Provider Name | Kaylyn S Kretsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871178004 PECOS PAC ID: 0244635548 Enrollment ID: I20210825001646 |
| Provider Name | Jenna Marie Steingraber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104440734 PECOS PAC ID: 0143625327 Enrollment ID: I20210826001032 |
| Provider Name | Madalyn M Knase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124606553 PECOS PAC ID: 4486059672 Enrollment ID: I20210826001150 |
| Provider Name | Emma Jane Butzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043815988 PECOS PAC ID: 1850796921 Enrollment ID: I20210827000976 |
| Provider Name | Fernando E Espinosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265107700 PECOS PAC ID: 1355747700 Enrollment ID: I20210909002351 |
| Provider Name | Savannah M Safar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073190591 PECOS PAC ID: 5496163057 Enrollment ID: I20210911000179 |
| Provider Name | Nirvan K Dharampaul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780275164 PECOS PAC ID: 7719396324 Enrollment ID: I20210914003461 |
| Provider Name | Aaron Philip Bloom |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1174985733 PECOS PAC ID: 7315239365 Enrollment ID: I20210917002419 |
| Provider Name | Brennan Patrick Swan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477128239 PECOS PAC ID: 4587061213 Enrollment ID: I20210923001026 |
| Provider Name | Kristen Anne Latta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699204248 PECOS PAC ID: 8123399979 Enrollment ID: I20211001001679 |
| Provider Name | Anna C Morrison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376214320 PECOS PAC ID: 5991103863 Enrollment ID: I20211006002541 |
| Provider Name | Thane David Widmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972175149 PECOS PAC ID: 6406254036 Enrollment ID: I20211012000647 |
| Provider Name | Bridget Alyssa Greiber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093343055 PECOS PAC ID: 7810395266 Enrollment ID: I20211014003218 |
| Provider Name | Rachel R Krautbauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568133106 PECOS PAC ID: 3577961861 Enrollment ID: I20211019000026 |
| Provider Name | Ryan M Skoog |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689346967 PECOS PAC ID: 4880082783 Enrollment ID: I20211026002468 |
| Provider Name | Bradley a Hise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841964178 PECOS PAC ID: 6204224934 Enrollment ID: I20211028001675 |
| Provider Name | Morgan Marie Faulkner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124792692 PECOS PAC ID: 6204224983 Enrollment ID: I20211029000340 |
| Provider Name | Nicole M Wolle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073285508 PECOS PAC ID: 2769870302 Enrollment ID: I20211101000887 |
| Provider Name | Caroline Anne Bennett Rey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538821764 PECOS PAC ID: 0840688297 Enrollment ID: I20211104000068 |
| Provider Name | Christina Truong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396400636 PECOS PAC ID: 8921497280 Enrollment ID: I20211109000228 |
| Provider Name | Mark R Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629505359 PECOS PAC ID: 6608143151 Enrollment ID: I20211109000419 |
| Provider Name | Sarah Derosier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689113045 PECOS PAC ID: 1658761994 Enrollment ID: I20211201000833 |
| Provider Name | Molly Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629104815 PECOS PAC ID: 0244621837 Enrollment ID: I20211215000229 |
| Provider Name | Elizabeth K Thelen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427711183 PECOS PAC ID: 4981095403 Enrollment ID: I20211216002694 |
| Provider Name | Emily a Neal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255782181 PECOS PAC ID: 7517252752 Enrollment ID: I20211228002147 |
| Provider Name | Megan Marie Reaney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730758392 PECOS PAC ID: 2163813890 Enrollment ID: I20220106001486 |
| Provider Name | Hannah Marie Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023788528 PECOS PAC ID: 6608268602 Enrollment ID: I20220125002517 |
| Provider Name | Lucas Allen Grossoehme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477134336 PECOS PAC ID: 2769875392 Enrollment ID: I20220203000907 |
| Provider Name | Claire Alisse Costanza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962714246 PECOS PAC ID: 5092909549 Enrollment ID: I20220223001471 |
| Provider Name | Hannah Lynn Stackpool |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205351475 PECOS PAC ID: 8527453588 Enrollment ID: I20220310000732 |
| Provider Name | Kelsey Irene Nowak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134526650 PECOS PAC ID: 8820484819 Enrollment ID: I20220330002339 |
| Provider Name | Kelli Denk Bosholm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811079486 PECOS PAC ID: 8325435217 Enrollment ID: I20220422002157 |
| Provider Name | Kyle D Morgenstern |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285167064 PECOS PAC ID: 6103195946 Enrollment ID: I20220513001521 |
| Provider Name | Christopher J. Traynor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285162776 PECOS PAC ID: 0345518007 Enrollment ID: I20220520000295 |
| Provider Name | Parker J Hanson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1538665641 PECOS PAC ID: 1254688377 Enrollment ID: I20220520001600 |
| Provider Name | Rebecca Lynn Carruthers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568659076 PECOS PAC ID: 9931587284 Enrollment ID: I20220527001816 |
| Provider Name | Mackenzie R Thayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053818252 PECOS PAC ID: 3072861160 Enrollment ID: I20220602000085 |
| Provider Name | Megan Lowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699439687 PECOS PAC ID: 5698153401 Enrollment ID: I20220607003038 |
| Provider Name | Janice Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528721701 PECOS PAC ID: 4284012964 Enrollment ID: I20220608002542 |
| Provider Name | Amy K Holst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992253397 PECOS PAC ID: 6709164791 Enrollment ID: I20220609000166 |
| Provider Name | Kathryn O Metzger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477191724 PECOS PAC ID: 0648684878 Enrollment ID: I20220613001842 |
| Provider Name | Mckenzie N Tirrel Ostendorf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306585252 PECOS PAC ID: 8022497445 Enrollment ID: I20220615001156 |
| Provider Name | Christine Frances Lager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689312803 PECOS PAC ID: 0143609008 Enrollment ID: I20220623000670 |
| Provider Name | Bethany Brausen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770213209 PECOS PAC ID: 4981085222 Enrollment ID: I20220719000632 |
| Provider Name | Mai Moua Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558020578 PECOS PAC ID: 8426439563 Enrollment ID: I20220720001451 |
| Provider Name | Pedro Zavala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386224947 PECOS PAC ID: 5193106037 Enrollment ID: I20220722002221 |
| Provider Name | Haley N Roed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487385159 PECOS PAC ID: 5193106961 Enrollment ID: I20220726000697 |
| Provider Name | Melinda Fjosne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952785297 PECOS PAC ID: 8426430208 Enrollment ID: I20220727001500 |
| Provider Name | Seth D Bass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366180713 PECOS PAC ID: 9335527134 Enrollment ID: I20220729001173 |
| Provider Name | Zoe L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760154199 PECOS PAC ID: 6204218662 Enrollment ID: I20220801003080 |
| Provider Name | Morgan L Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093444713 PECOS PAC ID: 7618359001 Enrollment ID: I20220802000756 |
| Provider Name | James B Bircher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053771204 PECOS PAC ID: 7012207947 Enrollment ID: I20220808001873 |
| Provider Name | Elizabeth G Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568197044 PECOS PAC ID: 7012390313 Enrollment ID: I20220819000503 |
| Provider Name | Lindsay Chrest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295463065 PECOS PAC ID: 1759765704 Enrollment ID: I20220825001304 |
| Provider Name | Shania Fleming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932832011 PECOS PAC ID: 7214311182 Enrollment ID: I20220826002612 |
| Provider Name | Riley C Simpson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851027585 PECOS PAC ID: 5890179444 Enrollment ID: I20220830004015 |
| Provider Name | Jeremiah David Johnson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1386031433 PECOS PAC ID: 5496057002 Enrollment ID: I20220902002442 |
| Provider Name | Rochelle K Mcnallan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619613700 PECOS PAC ID: 7416331749 Enrollment ID: I20220909000672 |
| Provider Name | Justin T Eglseder |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124525779 PECOS PAC ID: 5294110318 Enrollment ID: I20220909001888 |
| Provider Name | Shannon V Ahern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720715568 PECOS PAC ID: 4587049572 Enrollment ID: I20220912001612 |
| Provider Name | Megan M Rhyner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841895349 PECOS PAC ID: 0840690202 Enrollment ID: I20220912003499 |
| Provider Name | Brooke Dummer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609500552 PECOS PAC ID: 4981089364 Enrollment ID: I20220921002248 |
| Provider Name | Rebecca P Z Krause |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508341314 PECOS PAC ID: 2365789724 Enrollment ID: I20220922003582 |
| Provider Name | Cassandra Woodland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043753494 PECOS PAC ID: 2567745516 Enrollment ID: I20221003000615 |
| Provider Name | Quinn M Garner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194390815 PECOS PAC ID: 1254731573 Enrollment ID: I20221011000441 |
| Provider Name | Elise N Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891413530 PECOS PAC ID: 6901272061 Enrollment ID: I20221014002572 |
| Provider Name | Sonia Nikolayevna Runkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164164497 PECOS PAC ID: 7012384241 Enrollment ID: I20221101001811 |
| Provider Name | Rebecca D Fedie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629046602 PECOS PAC ID: 7517974777 Enrollment ID: I20221102002693 |
| Provider Name | Carley M Bowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063149532 PECOS PAC ID: 7911375001 Enrollment ID: I20221121002508 |
| Provider Name | Mackenzie Marie Drimel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558079848 PECOS PAC ID: 8527437979 Enrollment ID: I20221207002367 |
| Provider Name | Elizabeth a Narigon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619565058 PECOS PAC ID: 0840669198 Enrollment ID: I20221208003192 |
| Provider Name | Philip Punnoose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801523782 PECOS PAC ID: 4688043623 Enrollment ID: I20221213002589 |
| Provider Name | Cole Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871200329 PECOS PAC ID: 7113398652 Enrollment ID: I20230120001598 |
| Provider Name | Rachel M Oeffling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104414242 PECOS PAC ID: 1557732799 Enrollment ID: I20230125002731 |
| Provider Name | Katherine Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639881410 PECOS PAC ID: 6204209141 Enrollment ID: I20230224000071 |
| Provider Name | Madison Yvette Styrlund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023722527 PECOS PAC ID: 2466825146 Enrollment ID: I20230228000400 |
| Provider Name | Jenna Marie Solheim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710649694 PECOS PAC ID: 9638542228 Enrollment ID: I20230301002143 |
| Provider Name | Stefani M Neubeck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558947853 PECOS PAC ID: 0840663472 Enrollment ID: I20230302000721 |
| Provider Name | Elle M Kingsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205496601 PECOS PAC ID: 8729451273 Enrollment ID: I20230302001864 |
| Provider Name | Benjamin a Resnick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306542832 PECOS PAC ID: 8820461205 Enrollment ID: I20230306001771 |
| Provider Name | Zachary Thomas Eenhuis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487144762 PECOS PAC ID: 3971976051 Enrollment ID: I20230310002297 |
| Provider Name | Luke G Aldrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457073355 PECOS PAC ID: 7416321385 Enrollment ID: I20230315001782 |
| Provider Name | Rose G Von Drashek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720786015 PECOS PAC ID: 9931573524 Enrollment ID: I20230322001141 |
| Provider Name | Colleen Fafinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356040901 PECOS PAC ID: 2163897257 Enrollment ID: I20230403000891 |
| Provider Name | Tara Lynn Doerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528770419 PECOS PAC ID: 3375918105 Enrollment ID: I20230410002218 |
| Provider Name | Alexandria a Sweeney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659937662 PECOS PAC ID: 8325413776 Enrollment ID: I20230417002126 |
| Provider Name | Jennifer Vu Brion |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124729736 PECOS PAC ID: 7113382193 Enrollment ID: I20230426001390 |
| Provider Name | Ashley Jo Roerig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528773819 PECOS PAC ID: 5991160764 Enrollment ID: I20230501000323 |
| Provider Name | Mackenzie a Zorn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992450720 PECOS PAC ID: 0840655585 Enrollment ID: I20230502000819 |
| Provider Name | Anne F Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952023145 PECOS PAC ID: 4183089790 Enrollment ID: I20230504001727 |
| Provider Name | Tracie Lynn Reamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114620689 PECOS PAC ID: 3072978402 Enrollment ID: I20230508001423 |
| Provider Name | Alisha Kamboj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023578358 PECOS PAC ID: 1254673106 Enrollment ID: I20230512001593 |
| Provider Name | Aubrey Krahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710618376 PECOS PAC ID: 8527448315 Enrollment ID: I20230512002423 |
| Provider Name | Melissa M Melrick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659075281 PECOS PAC ID: 3476919598 Enrollment ID: I20230516001836 |
| Provider Name | Jonathan-erle Reid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811553241 PECOS PAC ID: 7517394471 Enrollment ID: I20230523002922 |
| Provider Name | Cody Suchla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417648759 PECOS PAC ID: 9133586159 Enrollment ID: I20230607001288 |
| Provider Name | Chelsea Ann Bayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831570100 PECOS PAC ID: 1254645849 Enrollment ID: I20230609003082 |
| Provider Name | Kyler Kinnamon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699465484 PECOS PAC ID: 6709244536 Enrollment ID: I20230626002940 |
| Provider Name | Gregory L Scallon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326481797 PECOS PAC ID: 0042514853 Enrollment ID: I20230627002157 |
| Provider Name | Hannah E Frey-hawkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649934159 PECOS PAC ID: 2466811013 Enrollment ID: I20230629003691 |
| Provider Name | Thomas John Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396211488 PECOS PAC ID: 7719346246 Enrollment ID: I20230630002680 |
| Provider Name | Anthony D Simons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285326207 PECOS PAC ID: 5698134120 Enrollment ID: I20230630002782 |
| Provider Name | Amy J Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154014322 PECOS PAC ID: 6800255225 Enrollment ID: I20230703002389 |
| Provider Name | Julia Black |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912681610 PECOS PAC ID: 6901265164 Enrollment ID: I20230706000757 |
| Provider Name | Andrea M Gredvig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518650852 PECOS PAC ID: 0042679243 Enrollment ID: I20230706002131 |
| Provider Name | Derek Allen Lahti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104501808 PECOS PAC ID: 9537528666 Enrollment ID: I20230706003572 |
| Provider Name | Etasha M Bhatt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417335183 PECOS PAC ID: 2163726977 Enrollment ID: I20230712000244 |
| Provider Name | Benjamin L Andre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972180271 PECOS PAC ID: 8426458498 Enrollment ID: I20230713000627 |
| Provider Name | Scott Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942992102 PECOS PAC ID: 3971963695 Enrollment ID: I20230713000711 |
| Provider Name | April B Thurston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720702772 PECOS PAC ID: 8527428747 Enrollment ID: I20230720000282 |
| Provider Name | Christopher J Reynolds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194263293 PECOS PAC ID: 4587935028 Enrollment ID: I20230720002406 |
| Provider Name | Shashank S Dwivedi |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1841648755 PECOS PAC ID: 4880989375 Enrollment ID: I20230720002607 |
| Provider Name | Joseph Michael Nessler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699201038 PECOS PAC ID: 5395015309 Enrollment ID: I20230721000701 |
| Provider Name | Briana Kay Linnerooth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407547664 PECOS PAC ID: 1052771995 Enrollment ID: I20230724002647 |
| Provider Name | Maren M Schultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588359962 PECOS PAC ID: 2163883059 Enrollment ID: I20230725000832 |
| Provider Name | Morgan Hobbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013693589 PECOS PAC ID: 4688035447 Enrollment ID: I20230727000188 |
| Provider Name | Samantha R Witta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528520103 PECOS PAC ID: 7618338377 Enrollment ID: I20230728000644 |
| Provider Name | Grace Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508545690 PECOS PAC ID: 8123489713 Enrollment ID: I20230728002845 |
| Provider Name | Kathryn a Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134803885 PECOS PAC ID: 3173984556 Enrollment ID: I20230801003981 |
| Provider Name | Jeffrey Anton Gilbertson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598293706 PECOS PAC ID: 3375811037 Enrollment ID: I20230803001574 |
| Provider Name | Zachary E Pressman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1710418660 PECOS PAC ID: 6608146378 Enrollment ID: I20230807001800 |
| Provider Name | Ryan C Nielsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891134359 PECOS PAC ID: 1658665591 Enrollment ID: I20230809002646 |
| Provider Name | Jarred C Frisk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114618287 PECOS PAC ID: 7719349364 Enrollment ID: I20230814001251 |
| Provider Name | Chelsey F Leuschke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386338408 PECOS PAC ID: 7517329097 Enrollment ID: I20230815003772 |
| Provider Name | Kyle J Theilmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306522768 PECOS PAC ID: 2961864038 Enrollment ID: I20230822001290 |
| Provider Name | Mikayla R Nelsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932882651 PECOS PAC ID: 1658734496 Enrollment ID: I20230828002159 |
| Provider Name | Halley Gluckman-fine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366121584 PECOS PAC ID: 2264895655 Enrollment ID: I20230901001010 |
| Provider Name | Sarina Rose Mcneill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215592035 PECOS PAC ID: 3274996442 Enrollment ID: I20230906001056 |
| Provider Name | Desmond J Fulton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538847272 PECOS PAC ID: 6103280318 Enrollment ID: I20230906003282 |
| Provider Name | Carla N Kinnunen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528740602 PECOS PAC ID: 0749644623 Enrollment ID: I20230911003131 |
| Provider Name | Dylan English |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982488698 PECOS PAC ID: 0941664502 Enrollment ID: I20230914003070 |
| Provider Name | Allyson C Sima |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255014940 PECOS PAC ID: 1456715887 Enrollment ID: I20230918002880 |
| Provider Name | Matthew W Bronsdon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659027746 PECOS PAC ID: 7911361233 Enrollment ID: I20230919003121 |
| Provider Name | Morgan Diane Streyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477296903 PECOS PAC ID: 2365896008 Enrollment ID: I20230928001333 |
| Provider Name | Natalie M Riutta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609653468 PECOS PAC ID: 3779937446 Enrollment ID: I20230928002973 |
| Provider Name | Hunter N Huberty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104300524 PECOS PAC ID: 5991057366 Enrollment ID: I20231010003537 |
| Provider Name | Corey Martin Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336689363 PECOS PAC ID: 7214324805 Enrollment ID: I20231018000938 |
| Provider Name | Kayla M Gerasimou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851023592 PECOS PAC ID: 2961858303 Enrollment ID: I20231021000635 |
| Provider Name | Kelley F Grotting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033890181 PECOS PAC ID: 5597111831 Enrollment ID: I20231024000345 |
| Provider Name | Maria a Retting |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124799093 PECOS PAC ID: 8921454158 Enrollment ID: I20231025000363 |
| Provider Name | Arsam Qazi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669244059 PECOS PAC ID: 3577910140 Enrollment ID: I20231103003010 |
| Provider Name | Amy R Wise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245602481 PECOS PAC ID: 9234586165 Enrollment ID: I20231114001514 |
| Provider Name | Amy L Mckeen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689819708 PECOS PAC ID: 5193177574 Enrollment ID: I20240122002486 |
| Provider Name | Angela M Tullbane |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689211526 PECOS PAC ID: 5496105017 Enrollment ID: I20240122004021 |
| Provider Name | Nicole Werts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720410590 PECOS PAC ID: 3678926870 Enrollment ID: I20240124001199 |
| Provider Name | Nicholas R Del Giudice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225747652 PECOS PAC ID: 2769853928 Enrollment ID: I20240206002207 |
| Provider Name | Jacob Harle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740779057 PECOS PAC ID: 0840645719 Enrollment ID: I20240229000214 |
| Provider Name | Alexandra Ann Vorderbruggen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154199800 PECOS PAC ID: 3577909449 Enrollment ID: I20240313003917 |
| Provider Name | Danielle a Wacker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942064175 PECOS PAC ID: 9234576968 Enrollment ID: I20240318001778 |
| Provider Name | Morgan Lynn Frisell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194580696 PECOS PAC ID: 8820435332 Enrollment ID: I20240320000567 |
| Provider Name | Rachel Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831641646 PECOS PAC ID: 0244518645 Enrollment ID: I20240320002656 |
| Provider Name | Reidun Emma Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982473393 PECOS PAC ID: 1052758901 Enrollment ID: I20240327001590 |
| Provider Name | Marilee J Saatzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710737010 PECOS PAC ID: 0749629392 Enrollment ID: I20240416003017 |
| Provider Name | Corinne Elizabeth Wambeke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558525873 PECOS PAC ID: 7315387313 Enrollment ID: I20240424001637 |
| Provider Name | Sarah Marie Maklad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497508410 PECOS PAC ID: 6204276934 Enrollment ID: I20240429002805 |
| Provider Name | Makayla Grace Mozey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760011217 PECOS PAC ID: 6204278823 Enrollment ID: I20240529001045 |
| Provider Name | Christopher Michael Laprade |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619472602 PECOS PAC ID: 3476913310 Enrollment ID: I20240604002563 |
| Provider Name | Kaitlyn M Soldan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043576168 PECOS PAC ID: 5193136018 Enrollment ID: I20240604003167 |
| Provider Name | Kalli Jo Fanning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265272702 PECOS PAC ID: 5294277760 Enrollment ID: I20240612001140 |
| Provider Name | Matthew Edward Braza |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316468549 PECOS PAC ID: 7719256775 Enrollment ID: I20240624004303 |
| Provider Name | Morgan E Wallmow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215780531 PECOS PAC ID: 9234673468 Enrollment ID: I20240628002359 |
| Provider Name | Alyssa Stapleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174364400 PECOS PAC ID: 3476097114 Enrollment ID: I20240704000664 |
| Provider Name | Joshua Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023858404 PECOS PAC ID: 9335683093 Enrollment ID: I20240705000812 |
| Provider Name | Caroline Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700446960 PECOS PAC ID: 0749519379 Enrollment ID: I20240709001970 |
| Provider Name | Matthew T Rasmussen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356909345 PECOS PAC ID: 6608109251 Enrollment ID: I20240709003896 |
| Provider Name | Sidni Simons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982449567 PECOS PAC ID: 0648715037 Enrollment ID: I20240710000552 |
| Provider Name | Harrisen Egly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912747254 PECOS PAC ID: 5092250480 Enrollment ID: I20240710000615 |
| Provider Name | Cole Birch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013769371 PECOS PAC ID: 5395280614 Enrollment ID: I20240711000692 |
| Provider Name | Jenna Opdahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598398307 PECOS PAC ID: 8123456746 Enrollment ID: I20240716000598 |
| Provider Name | Levon J Mueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093555682 PECOS PAC ID: 8527504000 Enrollment ID: I20240719002707 |
| Provider Name | Paige E Carman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992548507 PECOS PAC ID: 6901342278 Enrollment ID: I20240723001267 |
| Provider Name | Andrew E Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184303026 PECOS PAC ID: 5799221529 Enrollment ID: I20240729001450 |
| Provider Name | Madison Marie Musich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407586548 PECOS PAC ID: 2567909161 Enrollment ID: I20240731003562 |
| Provider Name | Madissen Marie Iten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336835800 PECOS PAC ID: 5991242927 Enrollment ID: I20240807003598 |
| Provider Name | Ellen Magnuson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760054837 PECOS PAC ID: 8022556968 Enrollment ID: I20240809003397 |
| Provider Name | Ryan Keller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336977644 PECOS PAC ID: 0244778108 Enrollment ID: I20240812000234 |
| Provider Name | Kyle Bradley Flikkema |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1639663354 PECOS PAC ID: 8224383708 Enrollment ID: I20240813003496 |
| Provider Name | Lauren Lisowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265128573 PECOS PAC ID: 0840738498 Enrollment ID: I20240814003760 |
| Provider Name | Adam M Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346732492 PECOS PAC ID: 5193070316 Enrollment ID: I20240815002902 |
| Provider Name | Madisyn E Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649059684 PECOS PAC ID: 4981142056 Enrollment ID: I20240820003817 |
| Provider Name | Anna Marie Ashley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629778642 PECOS PAC ID: 5193264026 Enrollment ID: I20240823000725 |
| Provider Name | Kollin B Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962233379 PECOS PAC ID: 6103365960 Enrollment ID: I20240826001782 |
| Provider Name | Gina Gjersvik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831936624 PECOS PAC ID: 9032658638 Enrollment ID: I20240827003530 |
| Provider Name | Shelby Dobratz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447081161 PECOS PAC ID: 3274072707 Enrollment ID: I20240828004678 |
| Provider Name | Cecilia L Hammond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831936756 PECOS PAC ID: 4486194271 Enrollment ID: I20240906004156 |
| Provider Name | Nishant Dwivedi |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1386139327 PECOS PAC ID: 8921469750 Enrollment ID: I20240909001726 |
| Provider Name | Alexander R Morehead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407559370 PECOS PAC ID: 6507306990 Enrollment ID: I20240912000638 |
| Provider Name | Erik Fritz |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1073005575 PECOS PAC ID: 4183975345 Enrollment ID: I20240912000831 |
| Provider Name | Michelle L Kulzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801221445 PECOS PAC ID: 1557802782 Enrollment ID: I20240916001396 |
| Provider Name | Jacob T Szalat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104529767 PECOS PAC ID: 0840731931 Enrollment ID: I20240917000490 |
| Provider Name | Natalie E Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962009811 PECOS PAC ID: 9234549908 Enrollment ID: I20240918002684 |
| Provider Name | Kaylie R Paitl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265217855 PECOS PAC ID: 8527509132 Enrollment ID: I20240924000364 |
| Provider Name | Alexandra Yared Gliadon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194555276 PECOS PAC ID: 1951842228 Enrollment ID: I20240926001878 |
| Provider Name | Emily G Madson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407680440 PECOS PAC ID: 9739610643 Enrollment ID: I20241002003805 |
| Provider Name | Hannah Mary Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245067537 PECOS PAC ID: 7416488333 Enrollment ID: I20241002004033 |
| Provider Name | Jacob Kolosky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639859275 PECOS PAC ID: 3971955428 Enrollment ID: I20241023000322 |
| Provider Name | Clair Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396521811 PECOS PAC ID: 0547608382 Enrollment ID: I20241024001298 |
| Provider Name | Reannin Des Jarlais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841026531 PECOS PAC ID: 2769916154 Enrollment ID: I20241107001851 |
| Provider Name | Makayla G Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316475684 PECOS PAC ID: 9537694203 Enrollment ID: I20241119002262 |
| Provider Name | Tim Whiteman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730997917 PECOS PAC ID: 2668909953 Enrollment ID: I20241227001118 |
| Provider Name | Andrew William Wittchow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780054254 PECOS PAC ID: 6507176948 Enrollment ID: I20250106000065 |
| Provider Name | Brittney L Hegg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619543550 PECOS PAC ID: 6406249499 Enrollment ID: I20250205002821 |
| Provider Name | Elliott Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134657976 PECOS PAC ID: 7113457524 Enrollment ID: I20250213002508 |
| Provider Name | Susan L Alcott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679387815 PECOS PAC ID: 7810417649 Enrollment ID: I20250225000552 |
| Provider Name | Courtney a Schuh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265275853 PECOS PAC ID: 7113447723 Enrollment ID: I20250226002855 |
| Provider Name | Mackenzie Lea Kusilek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962976324 PECOS PAC ID: 8123368792 Enrollment ID: I20250324001898 |
| Provider Name | Meghan Lee Reardon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275347049 PECOS PAC ID: 8426574641 Enrollment ID: I20250430000904 |
| Provider Name | Samantha Ardy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164203568 PECOS PAC ID: 0042652877 Enrollment ID: I20250604000380 |
| Provider Name | Hayden Schuette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952862757 PECOS PAC ID: 2062740194 Enrollment ID: I20250605001338 |
| Provider Name | Ethan Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306739438 PECOS PAC ID: 2062921422 Enrollment ID: I20250605001734 |
| Provider Name | Brady Torborg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184517294 PECOS PAC ID: 8426567892 Enrollment ID: I20250605001972 |
| Provider Name | Justin Matthews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760275184 PECOS PAC ID: 7719498716 Enrollment ID: I20250617001411 |
| Provider Name | Elliott E Hanke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710872205 PECOS PAC ID: 9234642794 Enrollment ID: I20250630000061 |
| Provider Name | Alyssa Lundquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275426462 PECOS PAC ID: 8022521442 Enrollment ID: I20250630002051 |
| Provider Name | Danielle Franklin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093608903 PECOS PAC ID: 4789197112 Enrollment ID: I20250630002242 |
| Provider Name | Morgan Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053209353 PECOS PAC ID: 6204349012 Enrollment ID: I20250703000206 |
| Provider Name | Ethan R Sawyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851929251 PECOS PAC ID: 1557785615 Enrollment ID: I20250707000895 |
| Provider Name | Brooke M Leone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689465304 PECOS PAC ID: 7810401403 Enrollment ID: I20250707002931 |
| Provider Name | Taylor James Freetly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104446996 PECOS PAC ID: 3971929167 Enrollment ID: I20250709002669 |
| Provider Name | Emily Morgan Elias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104715622 PECOS PAC ID: 7911411012 Enrollment ID: I20250710000425 |
| Provider Name | Sean M Huscroft |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316558547 PECOS PAC ID: 0042628315 Enrollment ID: I20250711001296 |
| Provider Name | Emily Hurley Ramseyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568268175 PECOS PAC ID: 5698280865 Enrollment ID: I20250716001159 |
| Provider Name | Grace L Wollschlager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821890179 PECOS PAC ID: 3072029735 Enrollment ID: I20250721000006 |
| Provider Name | Caitlin C Rosenzweig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548052061 PECOS PAC ID: 3274048624 Enrollment ID: I20250721000040 |
| Provider Name | Elle G Bryant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871322909 PECOS PAC ID: 8729527502 Enrollment ID: I20250721001689 |
| Provider Name | Grace M King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396537999 PECOS PAC ID: 7911412309 Enrollment ID: I20250722002379 |
| Provider Name | Corey Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467803668 PECOS PAC ID: 8527323229 Enrollment ID: I20250724003060 |
| Provider Name | Briana M Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669355442 PECOS PAC ID: 8224536586 Enrollment ID: I20250807001119 |
| Provider Name | Jacob Conrad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407731482 PECOS PAC ID: 6406355924 Enrollment ID: I20250820001204 |
| Provider Name | Dennis J Vanden Berge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659830743 PECOS PAC ID: 0446798060 Enrollment ID: I20250820002457 |
| Provider Name | Natalie N Tufvesson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962387597 PECOS PAC ID: 8921508094 Enrollment ID: I20250822002911 |
| Provider Name | Alexander L Bisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093394611 PECOS PAC ID: 3072915230 Enrollment ID: I20250826000800 |
| Provider Name | Jonah R Breuer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720965114 PECOS PAC ID: 7719488816 Enrollment ID: I20250829002774 |
| Provider Name | Mykaela D Korn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578440889 PECOS PAC ID: 5294236303 Enrollment ID: I20250829003033 |
| Provider Name | Tyler M Schildt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174400212 PECOS PAC ID: 7214439447 Enrollment ID: I20250908000423 |
| Provider Name | Blaine C Doeden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306723358 PECOS PAC ID: 7517469687 Enrollment ID: I20250908001271 |
| Provider Name | Adam C Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659259646 PECOS PAC ID: 7113429903 Enrollment ID: I20250909003038 |
| Provider Name | Eric J Bobel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316568736 PECOS PAC ID: 8224453741 Enrollment ID: I20250916001584 |
| Provider Name | Catherine V Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609750165 PECOS PAC ID: 4284139981 Enrollment ID: I20250924001859 |
| Provider Name | William J Rossmiller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255057949 PECOS PAC ID: 6709253966 Enrollment ID: I20250924002052 |
| Provider Name | Morgan C Giesen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194617951 PECOS PAC ID: 9133625080 Enrollment ID: I20250930004411 |
| Provider Name | Derek Newberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548135403 PECOS PAC ID: 2860980943 Enrollment ID: I20251021003110 |
| Provider Name | Katie Alison Barton-rehmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861592818 PECOS PAC ID: 8921596743 Enrollment ID: I20251023001860 |
| Provider Name | Katherine M Lokowich-kohler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255227559 PECOS PAC ID: 1254820624 Enrollment ID: I20251028000283 |
| Provider Name | Danielle Kay Earp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225832140 PECOS PAC ID: 0941799597 Enrollment ID: I20251103000323 |
| Provider Name | Allyson M Grant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336029099 PECOS PAC ID: 3072003599 Enrollment ID: I20251104002046 |
| Provider Name | Taron Squires |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225906811 PECOS PAC ID: 4880184035 Enrollment ID: I20251106000119 |
| Provider Name | Grace a Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952287294 PECOS PAC ID: 1153811369 Enrollment ID: I20251106002295 |
| Provider Name | Meghan R Frink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831061902 PECOS PAC ID: 6709378201 Enrollment ID: I20251121004027 |
| Provider Name | Amara Janel Ramirez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013877109 PECOS PAC ID: 9335632132 Enrollment ID: I20251201002362 |
| Provider Name | Madeline M Schellpfeffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801789037 PECOS PAC ID: 7214421254 Enrollment ID: I20251208003812 |
| Provider Name | Amna a Osman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780548081 PECOS PAC ID: 6507351749 Enrollment ID: I20251224001456 |
| Provider Name | Mariah C Sexe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922854041 PECOS PAC ID: 6608362587 Enrollment ID: I20251230002456 |
| Provider Name | Natalie O Hausker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992662613 PECOS PAC ID: 9436635182 Enrollment ID: I20260112003625 |
| Provider Name | Stacie Renee Blom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760571277 PECOS PAC ID: 8820574502 Enrollment ID: I20260113000508 |
| Provider Name | Talia Sylvester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417711029 PECOS PAC ID: 4587141601 Enrollment ID: I20260121000110 |
| Provider Name | Jaclyn Taylor Christiano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639049687 PECOS PAC ID: 5799264750 Enrollment ID: I20260210001064 |
| Provider Name | Abbigail Pepka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336008028 PECOS PAC ID: 5698255669 Enrollment ID: I20260218000858 |
| Provider Name | Gavin Renwick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710845805 PECOS PAC ID: 9133609043 Enrollment ID: I20260218001742 |
| Provider Name | Lauryn Roszak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669365599 PECOS PAC ID: 1759862550 Enrollment ID: I20260219002870 |
| Provider Name | Joseph Robert Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306521166 PECOS PAC ID: 6103272166 Enrollment ID: I20260227002762 |
| Provider Name | Jordan Marie Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700739679 PECOS PAC ID: 6507348117 Enrollment ID: I20260303004077 |
| Provider Name | Courtney Paige Siebenahler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992676738 PECOS PAC ID: 2264914712 Enrollment ID: I20260304000575 |
| Provider Name | Mackenzie Weisman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215612072 PECOS PAC ID: 1052767985 Enrollment ID: I20260323002385 |
| Provider Name | Madelin Eastman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225608177 PECOS PAC ID: 9234614637 Enrollment ID: I20260403000029 |
| Provider Name | Brianna a Zadnik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831047307 PECOS PAC ID: 7911472873 Enrollment ID: I20260408001386 |
| Provider Name | Samantha Ann Manthey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679146344 PECOS PAC ID: 5698241776 Enrollment ID: I20260416000837 |
| Provider Name | Evan Kacmarynski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457921231 PECOS PAC ID: 2860896552 Enrollment ID: I20260430000230 |
| Provider Name | Rylee Paul Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487586640 PECOS PAC ID: 0042781361 Enrollment ID: I20260608003294 |
| Provider Name | Hailey Marie Fink |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922979723 PECOS PAC ID: 3375015225 Enrollment ID: I20260611003680 |
| Provider Name | Garrett L Barten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568392991 PECOS PAC ID: 6608349154 Enrollment ID: I20260625002523 |
Allina Health Bloomington Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 Fax: 952-428-1723 |
Southwest Residence Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Columbus Ave S, Bloomington, MN 55420 Phone: 952-994-0998 |
Bravo Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8119 Bloomington Ave, Bloomington, MN 55425 Phone: 503-260-0819 |
Shining Minds Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 Lyndale Ave S Ste 100a, Bloomington, MN 55420 Phone: 619-841-8488 |
Sunny Homes LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9624 Clinton Ave S, Bloomington, MN 55420 Phone: 612-735-7312 |
Pacific Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 E 86th St # 410, Bloomington, MN 55425 Phone: 612-987-8534 |