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NPI Code Detail

MEDICARE: MR. PETER JOHN LINDQUIST P.T.

MEDICARE: MR. PETER JOHN LINDQUIST P.T.
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 Therapist2718MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497848584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER JOHN LINDQUIST P.T.
Provider Business Mailing Address
First Line : 7700 HIGHWAY 65 NE
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2832
Country : US
Telephone Number : 763-784-3155
Fax Number : 763-784-2352
Provider Business Practice Location Address
First Line : 7700 HIGHWAY 65 NE
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2832
Country : US
Telephone Number : 763-784-3155
Fax Number : 763-784-2352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 10/21/2008

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