Provider Demographics
NPI:1437467495
Name:THURLBY, CAROL A (PT)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:THURLBY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11950 HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:NORTHOME
Mailing Address - State:MN
Mailing Address - Zip Code:56661-8000
Mailing Address - Country:US
Mailing Address - Phone:218-897-5148
Mailing Address - Fax:
Practice Address - Street 1:11950 HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:NORTHOME
Practice Address - State:MN
Practice Address - Zip Code:56661-8000
Practice Address - Country:US
Practice Address - Phone:218-897-5148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7208225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist