Provider Demographics
NPI:1598546954
Name:TAT NE SEGMENT THERAPY
Entity Type:Organization
Organization Name:TAT NE SEGMENT THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SADIE
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:DALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-333-8073
Mailing Address - Street 1:315 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:PARSHALL
Mailing Address - State:ND
Mailing Address - Zip Code:58770
Mailing Address - Country:US
Mailing Address - Phone:701-333-8073
Mailing Address - Fax:
Practice Address - Street 1:315 2ND ST SE
Practice Address - Street 2:
Practice Address - City:PARSHALL
Practice Address - State:ND
Practice Address - Zip Code:58770
Practice Address - Country:US
Practice Address - Phone:701-333-8073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy