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Loon State Physical Therapy — NPI 1194314401, Minneapolis, MN | NPI Central

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NPI 1194314401

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Loon State Physical Therapy

NPI 1194314401 · Physical Therapy Clinic/Center · Minneapolis, MN

Provider details

NPI number: 1194314401
Entity type: Organization
Primary specialty: Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Andrew Eccles, Owner(612) 805-2676

Specialties & taxonomies

Physical Therapy Clinic/CenterPrimary261QP2000X
Ambulatory Health Care Facilities

Practice location

4420 Drew Ave S

Minneapolis, MN 55410-1337

Phone: (612) 405-8503

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

5800 12th Ave S

Minneapolis, MN 55417-3239

Additional practice locations (1)

2400 N 2nd St Ste 108
Minneapolis, MN 55411-2243
Phone: (612) 405-8503

Registry dates

Enumerated: 2021-01-12
Last updated: 2021-01-12
Certified: 2021-01-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.