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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA JO RISTAU OBANIANA, DPT

Active

MIRANDA JO RISTAU OBANIANA, DPT is a Physical Therapy Assistant healthcare provider located in CANBY, Minnesota. NPI 1538811138 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CANBY, MN

Registration Details

NPI Number
1538811138
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2022 (4.5627923685264 yrs)
Last Updated
Nov 25, 2022
Licenses
2321 (SD)
12331 (MN)

Practice Information

Address
112 SAINT OLAF AVE S
CANBY, MN, 562201433
Browse MN providers · Browse ZIP 56220
Phone
5072237277
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in CANBY, MN

Name Credential NPI
JENNIFER JACKSON P.T. 1932288545
CASEY M MEIER 1104120955
MELISSA KONOLD PT 1407230824
DR. ADAM LEE HOFFMANN PT, DPT, ITPT 1104334036
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.