Provider Demographics
NPI:1225290653
Name:METTLER, APRIL J (PT, WCS)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:J
Last Name:METTLER
Suffix:
Gender:F
Credentials:PT, WCS
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:J
Other - Last Name:NESHEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, WCS
Mailing Address - Street 1:207 W FRONT AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5514
Mailing Address - Country:US
Mailing Address - Phone:701-751-0994
Mailing Address - Fax:701-751-1657
Practice Address - Street 1:207 W FRONT AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5514
Practice Address - Country:US
Practice Address - Phone:701-751-0994
Practice Address - Fax:701-751-1657
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8114225100000X
ND1589225100000X
ND8114225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND55688Medicaid
ND1474625Medicaid
ND555908Medicare PIN