Alec Michelle Aman
Individual provider Active NPI Physical Therapist · Fargo, ND
NPI 1194201624 · NPPES record last updated Jul 18, 2018
Key facts
- NPI
- 1194201624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2192 (ND)
- Practice address
- 2301 25TH St S
Fargo, ND 58103-6104 - Phone
- (701) 280-2212
- Fax
- (701) 237-0922
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2192 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2192 | ND | Yes |
Addresses
Primary practice location
2301 25TH St S
Fargo, ND 58103-6104
Mailing address
2301 25TH St S
Fargo, ND 58103-6104
Phone (701) 280-2212
Other providers in Fargo, ND
- Akram Altoma
- Mark Jheran Zabat Alvarez
- Uns Kadhim Alwahab
- Malak Alzidaneen
- Am Investments LLC
- Kelsey Aman
- Amare Bloom Care LLC
- Jordan I Amatuegwu
- Rawand Amedi
- Amedisys North Dakota LLC
All providers in Fargo, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.