Doctor Name: | CARRIE J CARPENTER |
NPI Number: | 1487755146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 8208 |
Business Practice Address: | 9825 Hospital Dr Suite 104 Maple Grove, MN - 553694479 |
Business Phone Number: | 7635207870 |
Business Fax Number: | 7635207889 |
Mailing Address: | 6465 Wayzata Blvd, Suite 900 ST LOUIS PARK |
State: | MN |
Postal Code: | 554261728 |
Phone Number: | 9525125600 |
Fax Number: | 9525125651 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 03/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8208 |
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 |