Traci Marie Arens, PT

Individual provider Active NPI Geriatric Physical Therapist · Saint Paul, MN

NPI 1124133376 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124133376
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Physical Therapist 2251G0304X
License
5837 (MN)
Practice address
20 Thompson Ave E Ste 203
Saint Paul, MN 55118-3189
Phone
(651) 554-7669
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5837MNMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
National Dizzy & Balance Center,LTD. Past
since May 1, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 5837 MN Yes

Addresses

Primary practice location

20 Thompson Ave E Ste 203
Saint Paul, MN 55118-3189

Mailing address

590 Newman TRL
Stillwater, MN 55082-4529
Phone (651) 342-0113

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Geriatric Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.