Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BARRY J PEDERSON, DPT CSCS
ActiveBARRY J PEDERSON, DPT CSCS is a Physical Therapy Assistant healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1659578417 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1659578417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2007 (19.09500627947 yrs)
- Last Updated
- Sep 5, 2008
- Licenses
-
10875-024 (WI)7925 (MN)
Practice Information
- Address
-
1542 GOLF COURSE RDSUITE 104GRAND RAPIDS, MN, 557443555Browse MN providers · Browse ZIP 55744
- Phone
- 2183263300
- Fax
- 2183263400
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. ALAN JAY DETTMER | PT | 1962479436 |
| MR. DONALD M CARLSON | PT | 1902875040 |
| JONATHAN E. ARNTSON | PT | 1114965423 |
| LISA K BRINK | PT | 1447287297 |
| DR. PATRICIA JEAN KAMPA | PT, DPT | 1578603171 |
| MISS KATE E BRAUN | M.A. P.T. | 1093909574 |
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.