Individual provider · Type 1 NPI

Wade Daniel Halvorsen

Physical Therapy Assistant · Grand Rapids, MN

NPI number 1952077901 Active

Practice location

923 Hale Lake Pointe
Grand Rapids, MN 55744-9615

Mailing address

1911 Ohio Ave
Superior, WI 54880-2018

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA2707 (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 1952077901

Wade Daniel Halvorsen's National Provider Identifier is 1952077901, issued on Aug 19, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MN. The record was last updated on Aug 19, 2021.