Physical Therapist
JENNA PEDERSON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912377623 · enumerated 2015-10-07 · record updated 2015-10-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 6001, FARGO, ND, 58108-6001 (701) 364-8000 Google Maps Apple Maps OpenStreetMap
- Practice location 1027 WASHINGTON AVE, DETROIT LAKES, MN, 56501-3409 (218) 847-5611 Fax (218) 844-2444 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License 9146 MN
In this directory
Locations and evidence
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Practice location
DETROIT LAKES, MN, 565013409
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.