Healthcare Provider Details

I. General information

NPI: 1750235131
Provider Name (Legal Business Name): DAVID CHRISTOPHER FRIDERES PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 E STATE ST
ALGONA IA
50511-2840
US

IV. Provider business mailing address

714 E STATE ST
ALGONA IA
50511-2840
US

V. Phone/Fax

Practice location:
  • Phone: 515-395-3002
  • Fax: 515-313-0844
Mailing address:
  • Phone: 515-395-3002
  • Fax: 515-313-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number091424
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: