NPI 1215573654

Jesse Bauernhuber, PTA

Practitioner Physical Therapy Assistant Robbinsdale, MN

Practice location

Address: 3815 W Broadway Ave, Robbinsdale, MN 55422-2207
Phone: (612) 332-4262
Mailing address: 4554 Cedar Lake Rd S APT 6, St Louis Park, MN 55416-3755

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A2434 (MN)

Other Physical Therapy Assistant providers in Minnesota →

Registry record

NPI: 1215573654
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2019
Record last updated: 20 Nov 2019

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.