Provider Demographics
NPI:1073086328
Name:TORGERSON, PAIGE SHANNON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:SHANNON
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:SHANNON
Other - Last Name:NORDSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 AIRPORT RD STE 2000
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-2959
Mailing Address - Country:US
Mailing Address - Phone:701-355-6633
Mailing Address - Fax:701-354-4865
Practice Address - Street 1:310 AIRPORT RD STE 2000
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-2959
Practice Address - Country:US
Practice Address - Phone:701-355-6633
Practice Address - Fax:701-354-4865
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1959225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist