Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ALAN JAY DETTMER, PT
Active Sole ProprietorMR. ALAN JAY DETTMER, PT is a Physical Therapy Assistant healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1962479436 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1962479436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2006 (20.409614666208 yrs)
- Last Updated
- Feb 14, 2014
- License
-
7152 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 DONOVAN DRGRAND RAPIDS, MN, 55744Browse MN providers · Browse ZIP 55744
- Phone
- 2182592143
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD M CARLSON | PT | 1902875040 |
| JONATHAN E. ARNTSON | PT | 1114965423 |
| LISA K BRINK | PT | 1447287297 |
| DR. PATRICIA JEAN KAMPA | PT, DPT | 1578603171 |
| BARRY J PEDERSON | DPT CSCS | 1659578417 |
| 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.