IndividualActive
Sara Koss
NPI 1891440764 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Plymouth, MN
Provider details
- NPI number
- 1891440764
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1594 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4190 Vinewood Ln N Ste 107
Plymouth, MN 55442-1771
Phone: (651) 283-6011
Approximate (ZIP-level) locationGet directions
Mailing address
16501 77th Cir N
Maple Grove, MN 55311-3734
Registry dates
- Enumerated
- 2022-02-18
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.