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NPI Code Detail

MEDICARE: CONNIE MARIE ADAMS PT

MEDICARE: CONNIE MARIE ADAMS PT
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 Therapist11678MN
2225100000XPhysical Therapist2606ND

General Provider Information

NPI Number : 1558918805
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE MARIE ADAMS PT
Provider Business Mailing Address
First Line : 3244 51ST ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-7179
Country : US
Telephone Number : 701-356-0062
Fax Number : 701-356-5412
Provider Business Practice Location Address
First Line : 3244 51ST ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-7179
Country : US
Telephone Number : 701-356-0062
Fax Number : 701-356-5412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 02/03/2026

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Directions to “ CONNIE MARIE ADAMS PT” Practice Location

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