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Individual

JESSE SCHEIDECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1667 17TH AVE E STE 107, SHAKOPEE, MN 55379-4433
(952) 224-8120
(952) 224-8121
Mailing address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 224-8120
(952) 224-8121

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
9889
MN
225100000X
Physical Therapist
3481
NV
2251X0800X
Orthopedic Physical Therapist
Primary
9889
MN

Other

Enumeration date
03/23/2015
Last updated
07/13/2023
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