| Doctor Name: | MR. TODD C PERRY |
| NPI Number: | 1770583312 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 11128-24 |
| Business Practice Address: | 211 S Boundary Ave Essentia Health Proctor Clinic Proctor, MN - 558102306 |
| Business Phone Number: | 2185760200 |
| Business Fax Number: | |
| Mailing Address: | 211 S Boundary Ave, Essentia Health Proctor Clinic PROCTOR |
| State: | MN |
| Postal Code: | 558102306 |
| Phone Number: | 2185760200 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 04/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 11128-24 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |