IndividualActive
Corrie Libby
NPI 1174645618 · Rehabilitation Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1174645618
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 102495 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Yukon Ave N
Crystal, MN 55427-2523
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.