Individual ProviderMichael Kenneth IbachPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address225 N 7th St, Bismarck, ND 58501(701) 323-8936PECOS EnrollmentBased on the most recent information from CMS, provider Michael Kenneth Ibach 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 ID1952594137Provider TypeIndividualFull NameIbach, Michael KennethGenderMaleSole ProprietorNoEnumeration Date8/22/2007Last Updated8/22/2007Contact InformationPractice LocationPractice Address225 N 7th St, Bismarck, ND 58501Phone(701) 323-8936FaxUnlisted FaxMailing LocationMailing Address225 N 7th St, Bismarck, ND 58501PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1086North Dakota