# ACHIEVE THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003145376
- **Authorized official:** MICHELLE D ELLIS ATC PTC (OFFICE MANAGER)
- **Authorized official phone:** (218) 773-3388

## Contact information

- **Practice address:** 1421 CENTRAL AVE NW, EAST GRAND FORKS, MN 56721-1617
- **Practice address phone:** (218) 773-3388
- **Practice address fax:** (218) 773-6611
- **Mailing address:** PO BOX 12938, GRAND FORKS, ND 58208-2938
- **Mailing address phone:** (701) 746-8374
- **Mailing address fax:** (701) 780-0885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 10/25/2021