Healthcare Provider Details

I. General information

NPI: 1760334320
Provider Name (Legal Business Name): ARIANE MARIE MANSKE DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARIANE MARIE HEIDEMAN DPT, PT

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 W 81ST ST STE 112
BLOOMINGTON MN
55437-1111
US

IV. Provider business mailing address

4801 W 81ST ST STE 112
BLOOMINGTON MN
55437-1111
US

V. Phone/Fax

Practice location:
  • Phone: 952-345-3000
  • Fax: 952-345-6789
Mailing address:
  • Phone: 952-345-3000
  • Fax: 952-345-6789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14185
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: