Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY TAN
Active Sole ProprietorJEREMY TAN is a Physical Therapy Assistant healthcare provider located in BLOOMINGTON, Minnesota. NPI 1245837889 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1245837889
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2020 (5.8489229237164 yrs)
- Last Updated
- Dec 15, 2020
- Licenses
-
1309532 (TX)12109 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8100 NORTHLAND DRBLOOMINGTON, MN, 554314800Browse MN providers · Browse ZIP 55431
- Phone
- 9529934702
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| MR. SHANE ALLEN MESCHKE | LPT | 1316943152 |
| MRS. JEANNE SCHNEYER SPADACCINI | PT | 1831158013 |
| MRS. GALE G NYBERG | PT | 1801829866 |
| KARA DUPHORN | MPT | 1851318935 |
| ANDREA MARIE DIXEY | PT | 1295833911 |
| RICHARD WAYNE LUNDGREN | PT | 1033217377 |
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.