IndividualActive
Andrew Wolf, PTA
NPI 1215446133 · Physical Therapy Assistant · Eden Prairie, MN
Provider details
- NPI number
- 1215446133
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- A2189 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11447 Anderson Lakes Pkwy Apt 367
Eden Prairie, MN 55344-4091
Phone: (612) 384-1637
Approximate (ZIP-level) locationGet directions
Mailing address
11447 Anderson Lakes Pkwy Apt 367
Eden Prairie, MN 55344-4091
Registry dates
- Enumerated
- 2017-09-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.