Provider Demographics
NPI:1538663828
Name:MOBILITYPLUS REHABILITATION, LTD
Entity Type:Organization
Organization Name:MOBILITYPLUS REHABILITATION, LTD
Other - Org Name:MOBILITYPLUS REHABILITATION- VALLEY CITY
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-678-2244
Mailing Address - Street 1:PO BOX 586
Mailing Address - Street 2:
Mailing Address - City:GWINNER
Mailing Address - State:ND
Mailing Address - Zip Code:58040-0586
Mailing Address - Country:US
Mailing Address - Phone:701-678-2244
Mailing Address - Fax:701-678-2210
Practice Address - Street 1:1109 W MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-3639
Practice Address - Country:US
Practice Address - Phone:701-678-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOBILITYPLUS REHABILITATION, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty