IndividualActive
Amy Belisle, PTA
NPI 1639413776 · Physical Therapy Assistant · Saint Paul, MN
Provider details
- NPI number
- 1639413776
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A1551 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone: (651) 254-7700
Approximate (ZIP-level) locationGet directions
Mailing address
295 Phalen Blvd
Saint Paul, MN 55130-2400
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.