PEQUOT LAKES PHYSICAL THERAPY SERVICES, INC
NPI: 1467589101
· PEQUOT LAKES, MN 56472
· Physical Therapy Clinic/Center
· NPI assigned 02/28/2007
$609.52
Total Medicaid Paid
Provider Details
| Authorized Official | WULF, KELLY (OFFICE MANAGER) |
| NPI Enumeration Date | 02/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$609.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
28 |
12 |
$609.52 |