Levi John Hibma

NPI #1629592068 in Shoreview, Minnesota

Provider Information

NPI Number: 1629592068
Entity Type: Individual
Name: Levi John Hibma
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 27, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 5985 RICE CREEK PKWY STE 104
City: Shoreview
State: Minnesota
ZIP Code: 55126-5036
Phone: (651) 484-6735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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