Healthcare Provider Details

I. General information

NPI: 1417109059
Provider Name (Legal Business Name): APEX PHYSICAL THERAPY AND WELLNESS CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 9TH ST E STE 401
WEST FARGO ND
58078-3381
US

IV. Provider business mailing address

1420 9TH ST E STE 401
WEST FARGO ND
58078-3381
US

V. Phone/Fax

Practice location:
  • Phone: 701-364-2739
  • Fax:
Mailing address:
  • Phone: 701-364-2739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateND

VIII. Authorized Official

Name: MRS. BROOKE ERIN ERSTAD
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 701-364-2739