Sherry Ann Eveslage, PT

Individual provider Active NPI Physical Therapist · Albany, MN

NPI 1164638532 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164638532
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
7256 (MN)
Practice address
300 3Rd Ave
Albany, MN 56307-9363
Phone
(320) 845-6108
Fax
(320) 845-6127
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7256MNMDReproductive Endocrinology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7256 MN Yes

Addresses

Primary practice location

300 3Rd Ave
Albany, MN 56307-9363

Mailing address

130 Washburne Dr
Paynesville, MN 56362-1824
Phone (320) 845-6108

Other providers in Albany, MN

All providers in Albany, MN · Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.