Healthcare Provider Details

I. General information

NPI: 1760313654
Provider Name (Legal Business Name): ADAM ZAVALNEY PT, DPT, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 AMERICAN BLVD W STE 200
BLOOMINGTON MN
55431-4420
US

IV. Provider business mailing address

7500 HIGHWAY 7 APT 367
ST LOUIS PARK MN
55426-4152
US

V. Phone/Fax

Practice location:
  • Phone: 952-806-5510
  • Fax:
Mailing address:
  • Phone: 701-352-8054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: