Michael G Bresnahan, PT
Individual provider Active NPI Physical Therapist · Valley City, ND
NPI 1285767368 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285767368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 621 (ND)
- Practice address
- 570 Chautauqua Blvd
Valley City, ND 58072-3145 - Phone
- (701) 845-6400
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 621 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 621 | ND | Yes |
Addresses
Primary practice location
570 Chautauqua Blvd
Valley City, ND 58072-3145
Mailing address
355 9TH Ave NW
Valley City, ND 58072-2729
Phone (701) 845-5423
Other providers in Valley City, ND
- Kendall William Bjerke
- Lori L Bjerke
- Sara L Bonn
- Lucas Reid Bopp
- Sharon Robin Bratrud
- Bridge City Dentistry P.C.
- Brighter Days Therapy
- Brown Chiropractic Centre PC
- Brown Chiropractic Centre, PC
- Gabriel Duane Brown
All providers in Valley City, 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 8, 2007. 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.