Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SISLEY NG
ActiveSISLEY NG is a Physical Therapy Assistant healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1104505668 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1104505668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2023 (3.0951264188499 yrs)
- Last Updated
- Dec 1, 2025
- Licenses
-
PTL.0019419 (CO)13050 (MN)
Practice Information
- Address
-
3484 SAVANNAH AVEWHITE BEAR LAKE, MN, 551104579Browse MN providers · Browse ZIP 55110
- Phone
- 6512354095
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| AMY J PROSE | PT | 1881790665 |
| JEFFREY F LAHTI | PT | 1811085525 |
| SARA L SHUPE | PT | 1285722421 |
| JOSEPH K WAVRA | PT | 1467540583 |
| MELANIE K YOUNGQUIST | PT | 1033207014 |
| LAUREN LOBERG | PT | 1891980819 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.