IndividualActive
Andrea Newport, PT
NPI 1508953126 · Physical Therapist · Champlin, MN
Provider details
- NPI number
- 1508953126
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 6548 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12217 Champlin Dr
Champlin, MN 55316-1930
Phone: (763) 323-1492
Fax: (763) 422-1657
Approximate (ZIP-level) locationGet directions
Mailing address
12217 Champlin Dr
Champlin, MN 55316-1930
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2019-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.