MEDICARE: ANNE ELIZABETH VOSS MPT

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	6435	MN

General Provider Information

NPI Number	:	1164076105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE ELIZABETH VOSS MPT

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	LAKE ELMO
State	:	MN
Zip	:	55042-0128
Country	:	US
Telephone Number	:	651-900-5629
Fax Number	:	651-705-7002

Provider Business Practice Location Address
First Line	:	3394 LAKE ELMO AVE N
Second Line	:
City	:	LAKE ELMO
State	:	MN
Zip	:	55042-4438
Country	:	US
Telephone Number	:	651-900-5629
Fax Number	:	651-705-7002

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

Provider Enumeration Date	:	07/29/2019
Last Update Date	:	01/07/2026

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