Organization
ACHIEVE THERAPY LLC
Active
Other names
Achieve Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE D ELLIS ATC, PTA (OWNER)
(701) 746-8374
Entity
Organization
Contact information
Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4040
(701) 746-6694
(701) 746-6894
Mailing address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4040
(701) 746-6694
(701) 746-6894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006613301
—
MN
01
—
135104
PREFFERED ONE
ND
01
—
2135134
FIRST HEALTH
ND
01
—
322R6SE
BCBSMN
MN
01
—
4970240002
BCBSND
ND
05
—
54651
—
ND
01
—
6037001
BCBSND
ND
Enumeration date
03/06/2007
Last updated
01/11/2022
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