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Allina Health System — NPI 1962659094, St Paul, MN | NPI Central

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NPI 1962659094

OrganizationActive

Allina Health System

NPI 1962659094 · Physical Medicine & Rehabilitation Physician · St Paul, MN

Provider details

NPI number: 1962659094
Entity type: Organization
Primary specialty: Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Dominica Tallarico, Coo(612) 222-2222

Specialties & taxonomies

Physical Medicine & Rehabilitation PhysicianPrimary208100000X
Allopathic & Osteopathic Physicians
Clinic/Center261Q00000X
Ambulatory Health Care Facilities

Practice location

280 Smith Ave N Ste 220

St Paul, MN 55102-2459

Phone: (651) 241-8295

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

Po Box 43

Minneapolis, MN 55440-0043

Other names (DBA / former)

Doing business as: Courage Kenny Rehab Associates

Registry dates

Enumerated: 2008-08-20
Last updated: 2025-02-26
Certified: 2025-02-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.