IndividualActive
Alice Koshevatskiy, PT
NPI 1699550145 · Physical Therapist · Stanley, ND
Provider details
- NPI number
- 1699550145
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 5779 (HI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
615 6th St Se
Stanley, ND 58784-4444
Phone: (701) 628-8646
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 399
Stanley, ND 58784-0399
Additional practice locations (1)
- 284 W Greenfield AveAlgoma, WI 54201-1127Phone: (847) 431-6353
Registry dates
- Enumerated
- 2023-08-31
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.