Whalio Doctors

NPI 1144683400

Kade Melvin Jones, PTA

Practitioner Physical Therapy Assistant Plymouth, MN

Practice location

Address
3401 E Medicine Lake Blvd, Plymouth, MN 55441-2307
Phone
(763) 208-5676
Mailing address
4725 Minnetonka Blvd APT 222, Minneapolis, MN 55416-5711

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A2023 (MN)

Registry record

NPI
1144683400
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Apr 2016
Record last updated
3 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.