Healthcare Provider Details

I. General information

NPI: 1093299729
Provider Name (Legal Business Name): JANNA MARIAH NEHER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 12TH AVE E
NORTH SAINT PAUL MN
55109-2420
US

IV. Provider business mailing address

2520 12TH AVE E
NORTH ST PAUL MN
55109-2420
US

V. Phone/Fax

Practice location:
  • Phone: 651-748-7450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9264
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: