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NPI Code Detail

MEDICARE: MARY MEIERBACHTOL PT

MEDICARE: MARY MEIERBACHTOL 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 Therapist8629MN

General Provider Information

NPI Number : 1922546811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY MEIERBACHTOL PT
Provider Business Mailing Address
First Line : 1820 XENIUM LN N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-3708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1820 XENIUM LN N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-3708
Country : US
Telephone Number : 763-550-2138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2017
Last Update Date : 04/27/2026

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Directions to “ MARY MEIERBACHTOL PT” Practice Location

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