NPI 1821374638

Cynthia Jo Freitag-Hagen, PTA

Practitioner Physical Therapy Assistant Shakopee, MN

Practice location

Address: 1601 Saint Francis Ave Suite 200, Shakopee, MN 55379-3383
Phone: (952) 428-2018
Mailing address: 1220 Vernon Dr, Carver, MN 55315-4535

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A436 (MN)

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Registry record

NPI: 1821374638
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2011
Record last updated: 25 Oct 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.