| Doctor Name: | DERRICK FITTERER |
| NPI Number: | 1104245802 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 7800 |
| Business Practice Address: | 3534 University Dr S Fargo, ND - 581046228 |
| Business Phone Number: | 7012711817 |
| Business Fax Number: | 7012711926 |
| Mailing Address: | 200 Lewis Ave S, Ste 210 WATERTOWN |
| State: | MN |
| Postal Code: | 553884545 |
| Phone Number: | 9529552242 |
| Fax Number: | 9529552010 |
| NPI Enumeration Date: | 04/09/2014 |
| NPI Last Update Date: | 04/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 7800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |