Provider Demographics
NPI:1720674237
Name:LEVEL GROUND HEALTH & WELLNESS
Entity type:Organization
Organization Name:LEVEL GROUND HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:HALBAKKEN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:218-849-0369
Mailing Address - Street 1:6701 70TH AVE S
Mailing Address - Street 2:
Mailing Address - City:HORACE
Mailing Address - State:ND
Mailing Address - Zip Code:58047-9577
Mailing Address - Country:US
Mailing Address - Phone:218-849-0369
Mailing Address - Fax:
Practice Address - Street 1:6701 70TH AVE S
Practice Address - Street 2:
Practice Address - City:HORACE
Practice Address - State:ND
Practice Address - Zip Code:58047-9577
Practice Address - Country:US
Practice Address - Phone:218-849-0369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty