Doctor Name: | ELIZABETH KAE HERMANSON |
NPI Number: | 1003265083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 10281 |
Business Practice Address: | 4050 Coon Rapids Blvd Nw Coon Rapids, MN - 554332522 |
Business Phone Number: | 7632366000 |
Business Fax Number: | |
Mailing Address: | 17535 Pine Haven Dr Nw Unit 2, PINEWOOD |
State: | MN |
Postal Code: | 566764722 |
Phone Number: | 2185566400 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2016 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |