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

Marlie Mae Maanum

Individual provider Physical Therapist · NPI 1861174054

Marlie Mae Maanum is a Physical Therapist in Private Practice in West Fargo, North Dakota. Graduated from University of North Dakota School of Medicine in 2023, 3 years ago. Practices with Des Moines Spine and Sport PLLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
3
Trained at
University of North Dakota School of Medicine
In the registry since
2023
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Practice location Address checks out

1420 9th St E Ste 401
West Fargo, ND 58078-3381
Phone: (701) 658-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1861174054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Des Moines Spine And Sport Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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