Doctor Name: | MRS. STEPHANIE RAE GIESEKE |
NPI Number: | 1225160153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 6535 |
Business Practice Address: | 2534 University Dr S At Home Physical Therapy Pc, Suite #1 Fargo, ND - 581035700 |
Business Phone Number: | 7012937294 |
Business Fax Number: | 7012829738 |
Mailing Address: | 4749 44th St S, FARGO |
State: | ND |
Postal Code: | 581044284 |
Phone Number: | 7012610378 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6535 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |