MEDICARE: MANDY MEINERT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1833	ND

General Provider Information

NPI Number	:	1255704318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDY MEINERT DPT

Provider Business Mailing Address
First Line	:	2600 DALLAS PKWY STE 290
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-7493
Country	:	US
Telephone Number	:	945-260-0010
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 43RD ST S STE 101
Second Line	:
City	:	FARGO
State	:	NORTH DAKOTA
Zip	:	58104-8908
Country	:	UG
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2015
Last Update Date	:	12/01/2025

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