Blue Water Therapy, Llc

LBN: Blue Water Therapy, Llc
Blue Water Therapy, Llc is an health care organization with primary practice located at 3321 4Th Ave S Ste D , Fargo ND 58103-2235. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Blue Water Therapy, Llc can be contacted via phone (701) 200-8181, or through Evenson, Gabriel Thomas via phone (701) 200-8181.

Contact Information

Primary practice address
3321 4Th Ave S Ste D Fargo ND 58103-2235
Phone: (701) 200-8181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evenson, Gabriel Thomas MOTR/L
Phone: (701) 200-8181

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 995 North Dakota

Profile Details

NPI number 1245475797
LBN Legal business name Blue Water Therapy, Llc
DBA Doing business as
Authorized official Evenson, Gabriel Thomas MOTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2008
Last updated Dec 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers