Graduated: 2017
NPI: 1902439243
Practice Locations (3)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
15301 GROVE CIR N
MAPLE GROVE, MN 553694475
9529935900
MINNESOTA LUNA CARE PHYSICAL THERAPY LLC
428 MINNESOTA ST, SUITE 500
SAINT PAUL, MN 551012666
8665253175
Source: CMS National Downloadable File, September 2026.