Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL REUBEN JUDD, PTA
Active Sole ProprietorMICHAEL REUBEN JUDD, PTA is a Occupational Therapist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1023971975 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1023971975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2025 (0.72138036333765 yrs)
- Last Updated
- Dec 8, 2025
- License
-
A2043 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1831 BRAINARD BLVDDETROIT LAKES, MN, 565017987Browse MN providers · Browse ZIP 56501
- Phone
- 2186405547
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| CARLIE SANDER | — | 1053206318 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.