MR. DAVID CLARK POULTER (NPI# 1508831090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508831090 |
| Entity Type | Individual |
| Full Name | MR. DAVID CLARK POULTER |
| Credential | PT |
| Practice Address |
137 2nd Ave Sw Cambridge MN 55008 |
| Mailing Address |
137 2nd Ave Sw Cambridge MN 55008-1502 |
| Practice Telephone | 7636892462 |
| Practice Fax Number | 7636891688 |
| Mailing Telephone | 7636892462 |
| Mailing Fax Number | 7636891688 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5708 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 137 2nd Ave Sw, Cambridge, MN 55008 | 7636892462 | 7636891688 |
| Street Address |
137 2ND AVE SW |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083128425 | Ryan John Oster | Chiropractor | 137 2nd Ave Sw, Cambridge, MN 55008 | 2017-11-21 |
| 1093109548 | Katherine Mary Ford | Chiropractor | 137 2nd Ave Sw, Cambridge, MN 55008-1502 | 2015-03-23 |
| 1184969503 | Nicole M Burow | Health Educator | 137 2nd Ave Sw, Cambridge, MN 55008-1502 | 2012-12-11 |
| 1356686372 | Kyle G Volker | Chiropractor | 137 2nd Ave Sw, Cambridge, MN 55008-1502 | 2012-12-03 |
| 1336380005 | Byron Lee Leftwich | Acupuncturist | 137 2nd Ave Sw, Cambridge, MN 55008-1502 | 2009-03-10 |
| 1083785679 | Comprehensive Health Clinics, P.a. | Chiropractor | 137 2nd Ave Sw, Cambridge, MN 55008-1502 | 2006-11-13 |
| 1083640452 | Daniel A Drassal | Chiropractor | 137 2nd Ave Sw, Cambridge, MN 55008-1502 | 2006-06-25 |
| 1265468433 | Arthur K Volker | Chiropractor | 137 2nd Ave Sw, Cambridge, MN 55008-1502 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295717 | Khaleel Leroy Abdul-jabbaar | Physical Therapist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-08-13 |
| 1811492093 | Andy Sobuta | Physical Therapist | 36 Spinelli Pl, Cambridge, MA 02138-1064 | 2018-03-28 |
| 1861896458 | Connor Graves | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2014-10-10 |
| 1275961104 | Paul Kappel | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2013-11-01 |
| 1558798736 | Rachel Schlicht | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2013-10-02 |
| 1093971202 | Elizabeth Kravets | Physical Therapist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2008-08-06 |
| 1821219221 | Sean Evan Deardorff | Physical Therapist | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.