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
Phone: (218) 844-2300
Fax: (218) 844-2444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7686 | Minnesota |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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