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

Wade Daniel Halvorsen

Individual provider Physical Therapy Assistant · NPI 1952077901

Wade Daniel Halvorsen is a Physical Therapy Assistant in Grand Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
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Practice location Address checks out

923 Hale Lake Pt
Grand Rapids, MN 55744-9615
Phone: (218) 326-0543
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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 A2707 (MN)

Record details

NPI number1952077901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address1911 Ohio Ave, Superior, WI 54880-2018

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