Healthcare Provider Details

I. General information

NPI: 1992102172
Provider Name (Legal Business Name): MICHELE ANN MORSE MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2014
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 30TH AVE S
MOORHEAD MN
56560-5106
US

IV. Provider business mailing address

3421 RIVER DR S
FARGO ND
58104-6214
US

V. Phone/Fax

Practice location:
  • Phone: 218-284-3300
  • Fax:
Mailing address:
  • Phone: 701-371-6054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1189
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7828
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: