Erin Boesl, DPT
Individual provider Active NPI Physical Therapist · Wadena, MN
NPI 1881808285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881808285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7401 (MN)
- Practice address
- 415 Jefferson St N
Wadena, MN 56482-1264 - Phone
- (218) 631-7475
- Fax
- (218) 632-8765
- NPI assigned
- May 9, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7401 | MN | Yes |
Addresses
Primary practice location
415 Jefferson St N
Wadena, MN 56482-1264
Mailing address
185 Ash Ave
Miltona, MN 56354-8250
Phone (218) 943-1182
Other providers in Wadena, MN
- Krystal Bedell
- Bell Hill Recovery Center
- Bailey Emma Benson
- Nancy Ann Bern
- Sara L Blaha
- Boline Chiropractic
- Patrick D Boline
- Jordan Bolstad
- Julie Renee Brink
- Curtis Lee Brown
All providers in Wadena, 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 Jul 8, 2007. 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.