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

MS. Bonita Lynn Despain, PTA

Individual provider Physical Therapist · NPI 1588033658

MS. Bonita Lynn Despain, PTA is a Physical Therapist in International Falls, Minnesota. Licensed in Illinois, Minnesota and Missouri. Registered with an NPI since 2015.

Licensed in
IL, MN, MO
In the registry since
2015
Specialties on file
3
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

2201 Keenan Dr
International Falls, MN 56649-2152
Phone: (218) 283-8313
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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 A2779 (MN)
Physical Therapist Taxonomy 225100000X · Licence 2015026804 (MO)
Physical Therapy Assistant Taxonomy 225200000X · Licence 160.005650 (IL)

Record details

NPI number1588033658
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 18, 2015
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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