Susanne Elaine Holmen
Individual provider Active NPI Rehabilitation Practitioner · Park Rapids, MN
NPI 1295887370 · NPPES record last updated May 12, 2010
Key facts
- NPI
- 1295887370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 515 Bridge St
Park Rapids, MN 56470-1210 - Phone
- (218) 366-9229
- Fax
- (218) 237-2520
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Country Associates, Inc. | Past |
Accepting new patients | |
| Peterson Medical Clinics, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
515 Bridge St
Park Rapids, MN 56470-1210
Mailing address
23650 Glory Trail
Park Rapids, MN 56470
Phone (218) 732-3088
Other providers in Park Rapids, MN
- Stacia Lenore Heisler
- Rodney W Helm
- Jennifer M Hillukka
- Elizabeth Hirt
- Alissa Jo Hoban
- Hubbard County
- Hubbard County Developmental Achievement Center
- Hubbard County Heritage Living Center
- Hubbard County Sheriff'S Office
- Pamela Rose Hudson
All providers in Park Rapids, MN · Rehabilitation Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2010. 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.