Individual
MAXWELL C SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
13961
MN
225100000X
Physical Therapist
Primary
13961
MN
Other
Enumeration date
10/07/2021
Last updated
12/23/2025
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