Doctor Name: | MRS. ANGIE RAE SWANSON |
NPI Number: | 1376549436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T. |
License Number: | 6331 |
Business Practice Address: | 4010 W 65th St Edina, MN - 554351706 |
Business Phone Number: | 9524567004 |
Business Fax Number: | 9524567598 |
Mailing Address: | 4010 W 65th St, EDINA |
State: | MN |
Postal Code: | 554351706 |
Phone Number: | 9524567004 |
Fax Number: | 9524567598 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6331 |
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 |