NPI 1649646910

Philip Hanson, CMT

Practitioner Mechanotherapist St Louis Park, MN

Practice location

Address: 4200 Minnetonka Blvd, St Louis Park, MN 55416-5191
Phone: (612) 810-9333
Mailing address: 13707 Widgeon Ln, Rogers, MN 55374-8775

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 00029814 (MN)

Other Mechanotherapist providers in Minnesota →

Registry record

NPI: 1649646910
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2015
Record last updated: 20 Aug 2015

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.