Provider Demographics
NPI:1104030915
Name:BARTEN, ALEXIS (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:BARTEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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:2007-05-10
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7916225100000X
ND1609225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist