Individual provider · Type 1 NPI

Michael Reuben Judd, PTA

Physical Therapy Assistant · Detroit Lakes, MN

NPI number 1023971975 Active

Practice location

1831 Brainard Blvd
Detroit Lakes, MN 56501-7987

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA2043 (MN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023971975

Michael Reuben Judd, PTA's National Provider Identifier is 1023971975, issued on Dec 8, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Dec 8, 2025.