Healthcare Provider Details

I. General information

NPI: 1154248904
Provider Name (Legal Business Name): LUKE SCHOENBAUER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 FORD PKWY STE 200
SAINT PAUL MN
55116-3412
US

IV. Provider business mailing address

2270 FORD PKWY STE 200
SAINT PAUL MN
55116-3412
US

V. Phone/Fax

Practice location:
  • Phone: 612-273-6228
  • Fax:
Mailing address:
  • Phone: 612-273-6228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14481
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: