Healthcare Provider Details

I. General information

NPI: 1942116561
Provider Name (Legal Business Name): JOSEPH HEIN CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 77TH ST W STE 150
EDINA MN
55435-4822
US

IV. Provider business mailing address

8241 PENNSYLVANIA RD
MINNEAPOLIS MN
55438-1138
US

V. Phone/Fax

Practice location:
  • Phone: 651-900-2176
  • Fax:
Mailing address:
  • Phone: 651-900-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberM-BUS-001641-2024
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: