DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELIZABETH RIESTERER PT

MEDICARE:   ELIZABETH  RIESTERER  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
1225100000XPhysical Therapist7147MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17147OTHERMNPT LICENSE

General Provider Information

NPI Number : 1811102452
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH RIESTERER PT
Provider Business Mailing Address
First Line : 3700 CEDAR LAKE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55416-4240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3700 CEDAR LAKE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55416-4240
Country : US
Telephone Number : 612-925-7247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 06/22/2015

Similar Medicare Providers

1699762195 — JONES HARRISON RESIDENCE CORPORATION
Practice Location Address:
3700 CEDAR LAKE AVE
MINNEAPOLIS, MN
55416-4240
Practice Phone: 612-920-2030
Practice Fax: 612-920-2824
1891900536 — LORENE RAUTANEN PT
Practice Location Address:
3700 CEDAR LAKE AVE
MINNEAPOLIS, MN
55416-4240
Practice Phone: 612-925-7247
Practice Fax:
1942415674 — KAREN J MCCARREN PT
Practice Location Address:
3700 CEDAR LAKE AVE
MINNEAPOLIS, MN
55416-4240
Practice Phone: 612-928-3576
Practice Fax:
1699980268 — PETER COLUCCI PTA
Practice Location Address:
3700 CEDAR LAKE AVE
MINNEAPOLIS, MN
55416-4240
Practice Phone: 612-925-7247
Practice Fax:
1346455904 — GINA LAKOUR PTA
Practice Location Address:
3700 CEDAR LAKE AVE
MINNEAPOLIS, MN
55416-4240
Practice Phone: 612-925-7247
Practice Fax:
1912113754 — LYNN BERGSTROM OT
Practice Location Address:
3700 CEDAR LAKE AVE
MINNEAPOLIS, MN
55416-4240
Practice Phone: 612-925-7247
Practice Fax:

Directions to “ ELIZABETH RIESTERER PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.