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NPI Code Detail

MEDICARE: AMY STUKE PT

MEDICARE: AMY STUKE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5328MN

General Provider Information

NPI Number : 1205906583
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY STUKE PT
Provider Business Mailing Address
First Line : 4200 DAHLBERG DR STE 300
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4841
Country : US
Telephone Number : 952-512-5600
Fax Number : 952-512-5651
Provider Business Practice Location Address
First Line : 5400 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55410-2356
Country : US
Telephone Number : 877-609-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 08/02/2023

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Directions to “ AMY STUKE PT” Practice Location

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