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

Michael Reuben Judd, PTA

Individual provider Physical Therapy Assistant · NPI 1023971975

Michael Reuben Judd, PTA is a Physical Therapy Assistant in Detroit Lakes, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1831 Brainard Blvd
Detroit Lakes, MN 56501-7987
Phone: (218) 640-5547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A2043 (MN)

Record details

NPI number1023971975
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address1831 Brainard Blvd, Detroit Lakes, MN 56501-7987

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