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NPI Code Detail

MEDICARE: ANN ALEXANDER PT, DPT, LAT

MEDICARE: ANN ALEXANDER PT, DPT, LAT
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
12255A2300XAthletic Trainer3149MN
2225100000XPhysical Therapist12322MN

General Provider Information

NPI Number : 1437699113
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN ALEXANDER PT, DPT, LAT
Provider Business Mailing Address
First Line : 17476 HARBOR RD
Second Line :
City : COLD SPRING
State : MN
Zip : 56320
Country : US
Telephone Number : 320-247-0620
Fax Number :
Provider Business Practice Location Address
First Line : 688 WILDWOOD RD
Second Line :
City : MAHTOMEDI
State : MN
Zip : 55115-1812
Country : US
Telephone Number : 651-429-9947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2017
Last Update Date : 07/23/2021

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Directions to “ ANN ALEXANDER PT, DPT, LAT” Practice Location

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