Thomas Letrud II, PTA
Individual provider Active NPI Physical Therapy Assistant · Ortonville, MN
NPI 1801305495 · NPPES record last updated Sep 26, 2017
Key facts
- NPI
- 1801305495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0271 (SD)
- Practice address
- 10 4TH St SE
Ortonville, MN 56278 - Phone
- (320) 305-1311
- NPI assigned
- Sep 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0271 | SD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0271 | SD | Yes |
Addresses
Primary practice location
10 4TH St SE
Ortonville, MN 56278
Mailing address
10 4TH St SE
Ortonville, MN 56278-1532
Other providers in Ortonville, MN
- Sheree S Keller
- Alexandra King
- Suzanne Kleindl
- Isaac Knutson
- Kerri Larson
- Liebe Drug, Inc.
- Stacy Marie Longnecker
- Melissa Marihart
- Ronn E McDaniel
- Amanda McMahon
All providers in Ortonville, MN · Physical Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2017. 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.