Healthcare Provider Details

I. General information

NPI: 1245143601
Provider Name (Legal Business Name): MICHAEL DAVID TONSAGER MA., DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 1ST AVE S
SAINT JAMES MN
56081-1728
US

IV. Provider business mailing address

71833 390TH ST
SAINT JAMES MN
56081-4445
US

V. Phone/Fax

Practice location:
  • Phone: 507-621-8010
  • Fax:
Mailing address:
  • Phone: 507-375-8682
  • Fax: 507-375-8684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4991
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: