IndividualActive
Brian Illing, DPT
NPI 1790441632 · Orthopedic Physical Therapist · Fargo, ND
Provider details
- NPI number
- 1790441632
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 2500 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2400 32nd Ave S
Fargo, ND 58103-5800
Phone: (701) 234-2000
Approximate (ZIP-level) locationGet directions
Mailing address
2400 32nd Ave S
Fargo, ND 58103-5800
Registry dates
- Enumerated
- 2021-11-15
- Last updated
- 2021-11-15
- Certified
- 2021-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.