Doctor Name: | MR. GREGORY LYNN SANTEMA |
NPI Number: | 1861585853 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 1638 |
Business Practice Address: | 11855 Ulysses St Ne Suite 20 Blaine, MN - 554343947 |
Business Phone Number: | 7637673140 |
Business Fax Number: | 7637673146 |
Mailing Address: | 7700 Highway 65 Ne, SPRING LAKE PARK |
State: | MN |
Postal Code: | 554322832 |
Phone Number: | 7637843155 |
Fax Number: | 7637842352 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1638 |
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 |