Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HUNTER LAKE, PT, DPT
ActiveHUNTER LAKE, PT, DPT is a Physical Therapy Assistant healthcare provider located in EAST GRAND FORKS, Minnesota. NPI 1255172482 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EAST GRAND FORKS, MN
Registration Details
- NPI Number
- 1255172482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2024 (2.1689911243241 yrs)
- Last Updated
- Jul 13, 2024
- License
-
2703 (ND)
Practice Information
- Address
-
625 DEMERS AVEEAST GRAND FORKS, MN, 567211833Browse MN providers · Browse ZIP 56721
- Phone
- 2187735858
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EAST GRAND FORKS, MN
| Name | Credential | NPI |
|---|---|---|
| LAURIE T JUNG | PT | 1942236815 |
| JEFFREY S HANEY | PT | 1457423220 |
| RENEE LOUISE MABEY | PHD, PT | 1699984013 |
| MRS. ANDREA M AUCH | PT | 1821290826 |
| CHRISTEL LYNN PARVEY | PT | 1851670707 |
| JOSHUA P KLABUNDE | — | 1235563917 |
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.