IndividualActive
Rusty Wallman, PT
NPI 1508969551 · Sports Physical Therapist · Chanhassen, MN
Provider details
- NPI number
- 1508969551
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 6935 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7872 Century Boulevard
Chanhassen, MN 55317
Phone: (952) 448-9081
Fax: (952) 448-9088
Approximate (ZIP-level) locationGet directions
Mailing address
7872 Century Boulevard
Chanhassen, MN 55317
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.