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NPI Code Detail

MEDICARE: MR. JAMES M OLSON MAPT, MTC

MEDICARE: MR. JAMES M OLSON MAPT, MTC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6847MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326047879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES M OLSON MAPT, MTC
Provider Business Mailing Address
First Line : 410 30TH AVE E
Second Line : SUITE 102
City : ALEXANDRIA
State : MN
Zip : 56308-4769
Country : US
Telephone Number : 320-763-5505
Fax Number : 320-763-4447
Provider Business Practice Location Address
First Line : 410 30TH AVE E
Second Line : SUITE 102
City : ALEXANDRIA
State : MN
Zip : 56308-4769
Country : US
Telephone Number : 320-763-5505
Fax Number : 320-763-4447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 06/11/2008

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