David Farder
Individual provider Active NPI Physical Therapist · Walker, MN
NPI 1699178707 · NPPES record last updated Nov 1, 2019
Key facts
- NPI
- 1699178707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1683 (ND)
- Practice address
- 106 5TH St S
Walker, MN 56484 - Phone
- (218) 333-5899
- NPI assigned
- Oct 2, 2014
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1683 | ND | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1683 | ND | Yes |
Addresses
Primary practice location
106 5TH St S
Walker, MN 56484
Mailing address
PO Box 2010
Fargo, ND 58122-2484
Other practice location 1
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-5799
Other providers in Walker, MN
- Edgewood May Creek LLC
- Edgewood May Creek LLC
- Edgewood May Creek LLC
- Angela Marie Emmeck
- Rachel Diane Erickson
- First Choice Therapy
- Lyndsay Alyssa Grand
- Danielle Gunderson
- Thomas P Haas
- Haylee Jayne Hatteberg
All providers in Walker, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2019. 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.