Provider Demographics
NPI:1730471913
Name:FEMRITE, LAURA DEANN (PT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:DEANN
Last Name:FEMRITE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:DEANN
Other - Last Name:TORKILDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:605 MAIN STREET
Mailing Address - City:STARBUCK
Mailing Address - State:MN
Mailing Address - Zip Code:56381-0040
Mailing Address - Country:US
Mailing Address - Phone:320-239-2217
Mailing Address - Fax:320-239-7144
Practice Address - Street 1:605 MAIN STREET
Practice Address - Street 2:
Practice Address - City:STARBUCK
Practice Address - State:MN
Practice Address - Zip Code:56381-0040
Practice Address - Country:US
Practice Address - Phone:320-239-2217
Practice Address - Fax:320-239-7144
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist