NPI 1548636939

Jordan Espeseth

Practitioner Physical Therapy Assistant Thief River Falls, MN

Practice location

Address: 1805 Clyde Dr, Thief River Falls, MN 56701-4515
Phone: (218) 689-4156

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2115205 (TX)

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Registry record

NPI: 1548636939
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2015
Record last updated: 19 Aug 2015

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.