IndividualActive
Anthony Tatum
NPI 1194458232 · Orthopedic Physical Therapist · Bloomington, MN
Provider details
- NPI number
- 1194458232
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 12698 (MN)
Mailing address
8100 Northland Dr
Bloomington, MN 55431-4800
Registry dates
- Enumerated
- 2022-07-06
- Last updated
- 2022-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.