Healthcare Provider Details

I. General information

NPI: 1649638727
Provider Name (Legal Business Name): EMILY JOY LILI'IWAILEHUA DENO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY JOY LILI'IWAILEHUA ASUNCION DPT

II. Dates (important events)

Enumeration Date: 02/04/2016
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 SALEM RD SW
ROCHESTER MN
55902-0993
US

IV. Provider business mailing address

PO BOX 7197
ROCHESTER MN
55903-7197
US

V. Phone/Fax

Practice location:
  • Phone: 507-322-3460
  • Fax: 507-322-3450
Mailing address:
  • Phone: 507-322-3460
  • Fax: 507-322-3450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number10213
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: