Thomas, Tessa L

Thomas, Tessa L is an individual health care provider with primary practice located at 125 Frazee St E , Detroit Lakes MN 56501-3501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Thomas, Tessa L can be contacted via phone (218) 844-2300.

Contact Information

Primary practice address
125 Frazee St E Detroit Lakes MN 56501-3501
Fax: (218) 844-2444
Website:

Health care specialties

Profile Details

NPI number 1770524308
LBN Legal business name Thomas, Tessa L
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770524308 NPPES
Minnesota Other DA9031015523 PREFERRED ONE #
Minnesota MEDICAID 51040 PREFERRED ONE #
Minnesota Other 389K1TH PREFERRED ONE #
Minnesota Other 6406152 PREFERRED ONE #
Minnesota Other HP59946 PREFERRED ONE #
Minnesota Other 00051041 PREFERRED ONE #
Minnesota Other 26701 PREFERRED ONE #

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