Individual ProviderMiranda DupreePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1102 W Capitol Ave Apt 36, Bismarck, ND 58501-1386(406) 210-9210(888) 873-4221PECOS EnrollmentBased on the most recent information from CMS, provider Miranda Dupree 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 ID1902356652Provider TypeIndividualFull NameDupree, MirandaCredentialATCGenderFemaleSole ProprietorYesEnumeration Date10/6/2016Last Updated1/8/2021Contact InformationPractice LocationPractice Address1102 W Capitol Ave Apt 36, Bismarck, ND 58501-1386Phone(406) 210-9210FaxUnlisted FaxMailing LocationMailing Address213 4th Ave SE, Cut Bank, MT 59427-3409Phone(888) 873-4221FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer