Individual
DEREK WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S BROADWAY STE B, MINOT, ND 58701-4403
(701) 852-5040
(701) 852-5045
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2857
ND
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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