Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Water Therapy, LLC

Organization Rehabilitation Clinic/Center · NPI 1245475797

Blue Water Therapy, LLC is a Rehabilitation Clinic/Center in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2008.

Licensed in
ND
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3321 4th Ave S Ste D
Fargo, ND 58103-2235
Phone: (701) 200-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X · Licence 995 (ND)

Record details

NPI number1245475797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabriel Evenson — President · (701) 200-8181
NPI enumeratedDecember 12, 2008
Last updated in NPPESDecember 12, 2008
Mailing address4425 47th St S, Fargo, ND 58104-4201

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