Individual
JOSHUA MISTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1217 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 755-6360
(218) 755-6399
Mailing address
1217 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 755-6360
(218) 755-6399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9181
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070018894
STATE LICENSE
IL
Enumeration date
12/28/2011
Last updated
12/08/2025
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