NPI 1275820243

Dane Allen Anderson, PTA

Practitioner Physical Therapy Assistant Burnsville, MN

Practice location

Address: 100 Cobblestone Ln, Burnsville, MN 55337-4578
Phone: (763) 520-0409
Mailing address: 766 Idaho Ave E, Saint Paul, MN 55106-1049

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1452 (MN)

Other Physical Therapy Assistant providers in Minnesota →

Registry record

NPI: 1275820243
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2011
Record last updated: 29 Jun 2011

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.