Jesse Bauernhuber, PTA
NPI #1215573654 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1215573654
- Entity Type
- Individual
- Name
- Jesse Bauernhuber, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 20, 2019
- Last Updated
- Nov 20, 2019
Practice Location
- Address
- 3815 W BROADWAY AVE
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-2207
- Phone
- (612) 332-4262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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