Mark Laraway (NPI# 1548713357, PAC ID# 4981981271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1548713357 |
| PAC ID by PECOS | 4981981271 |
| Professional Enrollment ID | I20170914004073 |
| Full Name | Mark Laraway |
| Organization Legal Name | TOTAL BALANCE PHYSICAL THERAPY AND FITNESS LLC |
| Address |
1461 Broadway N Suite 105 Fargo ND 58102-2622 |
| Phone Number | 7012936037 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8820356991 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 | 7012936037 | TOTAL BALANCE PHYSICAL THERAPY AND FITNESS LLC |
| Organization Legal Name | TOTAL BALANCE PHYSICAL THERAPY AND FITNESS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Jo Spaeth | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 300 Main Ave, Suite 200, Fargo, ND 58103-1930 |
| Casey Robert Sailer | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Anthony Heath Charbonneau | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 4041 Main Ave, Fargo, ND 58103-1145 |
| Brady Allen Seiler | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Daniel W Johnson | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Tyler Groth | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Bailey Rose Plutowski | Registered Dietitian Or Nutrition Professional | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Street Address |
1461 BROADWAY N SUITE 105 |
| City | FARGO |
| State | ND |
| Zip | 58102-2622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Robert Sailer | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Brady Allen Seiler | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Daniel W Johnson | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Tyler Groth | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Bailey Rose Plutowski | Registered Dietitian Or Nutrition Professional | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry A Peterson | Physician Assistant | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Jennifer L Kringlie | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kathy M Smith | Clinical Social Worker | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Tracy L Kirchner | Physician Assistant | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Jessie S Lindemann | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kristina Jean Gresh | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kayla M Weigel | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Douglas Marlin Griffin | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Travis Michael Helmers | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Courtney R Carpenter | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Find all physicians in zip 58102 | |||
| City | FARGO |
| Zip Code | 58102 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FARGO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mark Laraway.
| 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.