Healthcare Provider Details

I. General information

NPI: 1811001456
Provider Name (Legal Business Name): SHANYN TUFTEE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 145TH ST E
ROSEMOUNT MN
55068-2932
US

IV. Provider business mailing address

1300 145TH ST E
ROSEMOUNT MN
55068-2932
US

V. Phone/Fax

Practice location:
  • Phone: 651-423-8229
  • Fax:
Mailing address:
  • Phone: 651-423-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305206221
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9255
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: