Elizabeth Hall
Individual provider Active NPI Physical Therapist · Ada, MN
NPI 1114487600 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1114487600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4386 (MN)
- Practice address
- 201 9TH St W
Ada, MN 56510-1279 - Phone
- (218) 784-5000
- Fax
- (218) 784-3753
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 4386 | MN | Yes |
Addresses
Primary practice location
201 9TH St W
Ada, MN 56510-1279
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 784-5000
Other providers in Ada, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.