Healthcare Provider Details

I. General information

NPI: 1982934162
Provider Name (Legal Business Name): PREETI M KEER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PREETI R MALVANKAR PT

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3912 EXCELSIOR BLVD
ST LOUIS PARK MN
55416-4709
US

IV. Provider business mailing address

3500 AMERICAN BLVD W STE 300
BLOOMINGTON MN
55431-4442
US

V. Phone/Fax

Practice location:
  • Phone: 877-609-0123
  • Fax: 888-425-0398
Mailing address:
  • Phone: 952-512-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14425
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number031715-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: