IndividualActive
Bradley Van Tassel
NPI 1326470949 · Physical Therapy Assistant · Saint Paul, MN
Provider details
- NPI number
- 1326470949
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 9158A (AZ)
Mailing address
15378 Foster Dr N
Hugo, MN 55038-8544
Registry dates
- Enumerated
- 2013-08-06
- Last updated
- 2013-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.