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Contact Information

WYATT B AMDAHL, PT, DPT
226 WESTERGARD RD
BOTTINEAU, ND58318-8058
 Phone: 218-240-4927
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for WYATT B AMDAHL · (Male)

NPI # 1336964477
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 11/21/2024
Last updated 11/21/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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