Kelsey Goraczkowski
Individual provider Active NPI Physical Therapist · Park Rapids, MN
NPI 1821572363 · NPPES record last updated Sep 20, 2018
Key facts
- NPI
- 1821572363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9108 (MN)
- Practice address
- 600 Pleasant Ave S
Park Rapids, MN 56470-1431 - Phone
- (218) 732-3311
- NPI assigned
- Sep 20, 2018
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9108 | MN | Yes |
Addresses
Primary practice location
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Mailing address
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone (218) 732-3311
Other providers in Park Rapids, MN
- Amanda Gartner
- Mary Girtz
- Wilma Rae Girtz
- Mary Bachman Godin
- Aron Goraczkowski
- Bradley Benjamin Graham
- Jean Irene Greseth Kirchner
- April Marie Grieger
- Groupworks LLC
- Jacob Earl Grund
All providers in Park Rapids, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2018. 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.