Provider Demographics
NPI:1528557006
Name:MEES PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:MEES PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:701-955-2102
Mailing Address - Street 1:2730 PAINTBALL WAY STE B4
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:ND
Mailing Address - Zip Code:58504-2505
Mailing Address - Country:US
Mailing Address - Phone:701-955-2102
Mailing Address - Fax:701-955-5715
Practice Address - Street 1:2730 PAINTBALL WAY STE 4
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:ND
Practice Address - Zip Code:58504-2503
Practice Address - Country:US
Practice Address - Phone:701-955-2102
Practice Address - Fax:701-955-5715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
ND1294261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty