Individual
MICHAEL REUBEN JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1831 BRAINARD BLVD, DETROIT LAKES, MN 56501-7987
(218) 640-5547
Mailing address
1831 BRAINARD BLVD, DETROIT LAKES, MN 56501-7987
(218) 640-5547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2043
MN
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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