Healthcare Provider Details

I. General information

NPI: 1720178916
Provider Name (Legal Business Name): STEVEN P ZIEGLER PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 7TH STREET NW
HAZEN ND
58545-0074
US

IV. Provider business mailing address

PO BOX 74 222 7TH STREET NW
HAZEN ND
58545-0074
US

V. Phone/Fax

Practice location:
  • Phone: 701-748-3700
  • Fax: 701-748-3707
Mailing address:
  • Phone: 701-748-3700
  • Fax: 701-748-3707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number870
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: