Individual ProviderTana TrotterPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1151 W Divide Ave, Bismarck, ND 58501-1151(701) 751-7797PECOS EnrollmentBased on the most recent information from CMS, provider Tana Trotter 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 ID1356721377Provider TypeIndividualFull NameTrotter, TanaTitleDr.CredentialPT, DPTGenderFemaleSole ProprietorYesEnumeration Date6/4/2015Last Updated8/4/2015Contact InformationPractice LocationPractice Address1151 W Divide Ave, Bismarck, ND 58501-1151Phone(701) 751-7797FaxUnlisted FaxMailing LocationMailing Address1151 W Divide Ave, Bismarck, ND 58501-1151Phone(701) 751-7797FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1964North Dakota