Whalio Doctors

NPI 1023971975

Michael Reuben Judd, PTA

Practitioner Physical Therapy Assistant Detroit Lakes, MN

Practice location

Address
1831 Brainard Blvd, Detroit Lakes, MN 56501-7987
Phone
(218) 640-5547

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A2043 (MN)

Registry record

NPI
1023971975
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Dec 2025
Record last updated
8 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.