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NPI Code Detail

MEDICARE: CARRIE J CARPENTER RPT

MEDICARE:   CARRIE J CARPENTER  RPT
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
1225100000XPhysical Therapist8208MN

General Provider Information

NPI Number : 1487755146
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE J CARPENTER RPT
Provider Business Mailing Address
First Line : 3500 AMERICAN BLVD W STE 300
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55431-4442
Country : US
Telephone Number : 952-512-5600
Fax Number :
Provider Business Practice Location Address
First Line : 9630 GROVE CIR N STE 200
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-3492
Country : US
Telephone Number : 763-520-7870
Fax Number : 763-520-7889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 04/07/2025

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Directions to “ CARRIE J CARPENTER RPT” Practice Location

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