Julie M Eisenschenk, PT

Individual provider Active NPI Physical Therapist · Cold Spring, MN

NPI 1386769495 · NPPES record last updated Aug 16, 2013

Key facts

NPI
1386769495
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5019 (MN)
Practice address
26990 163Rd Ave
Cold Spring, MN 56320-9611
Phone
(320) 345-1924
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

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
5019MNMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5019 MN Yes

Addresses

Primary practice location

26990 163Rd Ave
Cold Spring, MN 56320-9611

Mailing address

26990 163Rd Ave
Cold Spring, MN 56320-9611
Phone (320) 345-1924

Other identifiers

IdentifierTypeStateIssuer
340C4EIOtherMNBCBS MN

Other providers in Cold Spring, MN

All providers in Cold Spring, MN · Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.