Individual
BLAKE R HUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2700 VIKINGS CIR, EAGAN, MN 55121-1002
(952) 456-7600
(952) 456-7601
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11368
MN
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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