Callen S Mouritsen

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1013507615

Callen S Mouritsen is a Physical Therapist in Private Practice in Fergus Falls, Minnesota. Qualified in 2020, 6 years ago. Practices with Total Body LLC, a 5-clinician group. Licensed in Minnesota.

Years since qualifying: 6
Licensed in: MN
In the registry since: 2021

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Practice location Address checks out

1131 S Mabelle Ave
Fergus Falls, MN 56537-3723
Phone: (218) 998-1500

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary)	Taxonomy 208100000X · Licence 11934 (MN)

Record details

NPI number	1013507615
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 19, 2021
Last updated in NPPES	January 19, 2021
Certification date	January 19, 2021
Mailing address	901 N Union Ave, Fergus Falls, MN 56537-1212

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2020 (6 years in practice)
Group practice	Total Body Llc — 5 clinicians
Accepts Medicare assignment	Not indicated