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BLUE WATER THERAPY, LLC
NPI 1245475797
Clinic/Center - Rehabilitation in Fargo, ND

Active since December 12, 2008
3321 4TH AVE S STE D, FARGO, ND 58103(701) 200-8181 Get Directions Write a Review

NPPES record last updated: December 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Water Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER THERAPY, LLC (NPI 1245475797) is a healthcare organization registered as a rehabilitation in Fargo, North Dakota and active in the NPI registry since December 2008. The organization lists Gabriel Thomas Evenson, President, as its authorized official.

NPPES Registry Identity

NPI1245475797
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameBLUE WATER THERAPY, LLC
Location Address3321 4TH AVE S STE DFargo, ND 58103-2235
Mailing Address4425 47th St SFargo, ND 58104-4201 · (701) 200-8181
Phone(701) 200-8181
Organization SubpartNo
Authorized OfficialGabriel Thomas EvensonPresident · (701) 200-8181
Enumeration DateDecember 12, 2008
✔ NPI 1245475797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in ND · 995
3321 4TH AVE S STE D, Fargo, ND 58103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Therapy, LLC's NPI number?

The NPI number for Blue Water Therapy, LLC is 1245475797. It was assigned to this organization in the NPPES registry on December 12, 2008.

Where is Blue Water Therapy, LLC located?

Blue Water Therapy, LLC is located at 3321 4th Ave S Ste D, Fargo, ND 58103. The listed phone number is (701) 200-8181.

What is Blue Water Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Blue Water Therapy, LLC was last updated on December 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.