Kadee A Irmen, DPT

Individual provider Active NPI Physical Therapist · Carrington, ND

NPI 1104110253 · NPPES record last updated Jun 7, 2011

Key facts

NPI
1104110253
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1630 (ND)
Practice address
800 4TH St N
Carrington, ND 58421-1217
Phone
(701) 652-7179
Fax
(701) 652-7036
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1630NDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1630 ND Yes

Addresses

Primary practice location

800 4TH St N
Carrington, ND 58421-1217

Mailing address

800 4TH St N
Carrington, ND 58421-1217
Phone (701) 652-7179

Other providers in Carrington, ND

All providers in Carrington, ND · Physical Therapist in North Dakota

Sources for this page

Verify at the official NPI Registry.