Individual ProviderJackie MrachekPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6097PECOS EnrollmentBased on the most recent information from CMS, provider Jackie Mrachek does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225220759Provider TypeIndividualFull NameMrachek, JackieTitleDr.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date8/17/2007Last Updated1/10/2022Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6097Fax(701) 323-6189Mailing LocationMailing Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6097Fax(701) 323-6189Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1279North DakotaCode2251P0200XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1279North Dakota