Doctor Name: | BENJAMIN ROBERT MASCHKE |
NPI Number: | 1376674184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 8067 |
Business Practice Address: | 8100 Northland Dr Bloomington, MN - 554314800 |
Business Phone Number: | 9528065625 |
Business Fax Number: | |
Mailing Address: | 13235 Pennsylvania Ave, SAVAGE |
State: | MN |
Postal Code: | 553781147 |
Phone Number: | 2623020026 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 04/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8067 |
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 |