Application Forms for North Dakota Licensure
Download PT Application Form in
MS Word Format or
PDF Format
Download PTA Application Form in
MS Word Format or
PDF Format
If you have any questions, please feel free to contact:
Tami Egeland
NDSEC PT
Box 69
Grafton, ND 58237
Ph. 701-352-0125
Fax. 701-352-3093
IT IS IN VIOLATION OF THE PRACTICE ACT TO PRACTICE AS A PHYSICAL THERAPIST IN NORTH DAKOTA WITHOUT BEING ISSUED A PERMANENT LICENSE.