Provider Demographics
NPI:1306544408
Name:NEIGHBORHOOD PEDIATRIC THERAPY, PLLC.
Entity type:Organization
Organization Name:NEIGHBORHOOD PEDIATRIC THERAPY, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MACKENZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-721-5957
Mailing Address - Street 1:1501 VALLEY BLUFFS DR SE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-7480
Mailing Address - Country:US
Mailing Address - Phone:701-721-5957
Mailing Address - Fax:
Practice Address - Street 1:1015 S BROADWAY STE 21B
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4612
Practice Address - Country:US
Practice Address - Phone:701-721-5957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty