Linda Kay Fairchild (NPI# 1720010382, PAC ID# 4183864655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1720010382 |
| PAC ID by PECOS | 4183864655 |
| Professional Enrollment ID | I20130703000406 |
| Full Name | Linda Kay Fairchild |
| Organization Legal Name | INNOVATIVE THERAPY LLC |
| Address |
16820 197th Ave Nw Options Inc Big Lake MN 55309-4828 |
| Phone Number | 7632633684 |
| Gender | F |
| Graduation Year | 1984 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 2668494436 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16820 197th Ave Nw, Options Inc, Big Lake, MN 55309-4828 | 7632633684 | INNOVATIVE THERAPY LLC |
| Organization Legal Name | INNOVATIVE THERAPY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey Marie Ohumukini | Occupational Therapy | Innovative Therapy LLC | 5480 Nathan Ln N, 140 Karlins Center, Plymouth, MN 55442-1995 |
| Kathleen E Holmes | Qualified Speech Language Pathologist | Innovative Therapy LLC | 7100 Shady Oak Rd, Eden Prairie, MN 55344-3517 |
| Street Address |
16820 197TH AVE NW OPTIONS INC |
| City | BIG LAKE |
| State | MN |
| Zip | 55309-4828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista M Davis | Optometry | 621 Rose Dr, Big Lake, MN 55309-4653 | |
| Nathan E Davidson | Chiropractic | 690 Humboldt Dr, Suite C, Big Lake, MN 55309-4813 | |
| Shakeel Anjum | Nephrology | Centracare Clinic | 16830 198th Nwave, Big Lake, MN 55309-4860 |
| Nellie Lynn Gabrielson | Physician Assistant | Centracare Clinic | 16830 198th Nwave, Big Lake, MN 55309-4860 |
| City | BIG LAKE |
| Zip Code | 55309 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | BIG LAKE + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Linda Kay Fairchild.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.