MEDICARE: AMY M STROHM PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3073	MN

General Provider Information

NPI Number	:	1154387694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY M STROHM PT

Provider Business Mailing Address
First Line	:	150 COBBLESTONE LN
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-4578
Country	:	US
Telephone Number	:	952-460-4946
Fax Number	:	952-460-4961

Provider Business Practice Location Address
First Line	:	3305 CENTRAL PARK VILLAGE DR STE 130
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-7707
Country	:	US
Telephone Number	:	952-460-4946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	07/21/2022

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