IndividualActive
Alexis Hydukovich, DPT
NPI 1144764150 · Physical Therapist · Blaine, MN
Provider details
- NPI number
- 1144764150
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7622 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11225 Ulysses St Ne
Blaine, MN 55434-4261
Phone: (763) 302-2600
Fax: (763) 302-2601
Approximate (ZIP-level) locationGet directions
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Registry dates
- Enumerated
- 2016-12-09
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.