Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT ROBERT DEARDORFF, PT, DPT
Active Sole ProprietorKENT ROBERT DEARDORFF, PT, DPT is a Physical Therapy Assistant healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1154945251 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1154945251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2020 (6.1693268417145 yrs)
- Last Updated
- Jun 4, 2020
- License
-
11812 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6901 MEADOWBROOK BLVD APT 289ST LOUIS PARK, MN, 554264634Browse MN providers · Browse ZIP 55426
- Phone
- 4805107804
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN PAUL ZAJICEK | P.T. | 1366418279 |
| TARA MAE WANDER | PT | 1851342091 |
| MRS. CHERYL L TIBESAR | PT | 1770595159 |
| MRS. SUSAN C OLSON | PT | 1619071792 |
| ANN MARIE PUGLIESE | PT | 1407951585 |
| TRUDE M STOMMES SCHLANGEN | PT | 1104922665 |
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.