IndividualActive
Nicholas Harris
NPI 1306788765 · Sports Physical Therapist · Big Lake, MN
Provider details
- NPI number
- 1306788765
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4206 Loon Loop
Big Lake, MN 55309-9023
Phone: (763) 699-1920
Approximate (ZIP-level) locationGet directions
Mailing address
4206 Loon Loop
Big Lake, MN 55309-9023
Registry dates
- Enumerated
- 2026-04-07
- Last updated
- 2026-04-07
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.