Provider Demographics
NPI:1972651404
Name:ASKEGAARD, MARION L (PHD)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:L
Last Name:ASKEGAARD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 5TH ST S
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-5636
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:901 8TH ST S
Practice Address - Street 2:CONCORDIA COLLEGE
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56562-0001
Practice Address - Country:US
Practice Address - Phone:218-299-4710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12502255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer