Individual ProviderKatie HiebPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520(701) 530-8200(701) 258-5058PECOS EnrollmentBased on the most recent information from CMS, provider Katie Hieb 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 ID1417353657Provider TypeIndividualFull NameHieb, KatieGenderFemaleSole ProprietorYesEnumeration Date11/17/2014Last Updated7/22/2018Contact InformationPractice LocationPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520Phone(701) 530-8200FaxUnlisted FaxMailing LocationMailing AddressPO Box 212, Bismarck, ND 58502-0212Phone(701) 258-5058Fax(701) 258-1041Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1742North Dakota