Doctor Name: | SAUNDRA MARIE NEISEN |
NPI Number: | 1780963850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 8751 |
Business Practice Address: | 825 1st Ave Nw New Brighton, MN - 551126846 |
Business Phone Number: | 6516337875 |
Business Fax Number: | |
Mailing Address: | 8770 Tamarack St Nw, COON RAPIDS |
State: | MN |
Postal Code: | 554335958 |
Phone Number: | 3305757516 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2011 |
NPI Last Update Date: | 08/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8751 |
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 |