Physical Therapist
MYOFASCIAL RELEASE BY KATIE
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 Plan acceptance stays unpublished until the practice reports it.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 1487255295 · enumerated 2020-11-06 · record updated 2020-11-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KATIE BRADSHAW PT, CEO/Owner · (612) 432-5305
Addresses and phones
- Mailing address 2406 14TH ST W, WEST FARGO, ND, 58078-8441 (612) 432-5305 Google Maps Apple Maps OpenStreetMap
- Practice location 3441 45TH ST S, FARGO, ND, 58104-8970 (701) 660-5104 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist, Ergonomics 2251E1200X
- Physical Therapist, Pediatrics 2251P0200X
- Physical Therapist, Sports 2251S0007X
- Physical Therapist, Orthopedic 2251X0800X
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
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Practice location
FARGO, ND, 581048970
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.