Individual
JARED ANTHONY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19400 NORMANDALE RD, PRIOR LAKE, MN 55372-9764
(612) 968-0094
Mailing address
19400 NORMANDALE RD, PRIOR LAKE, MN 55372-9764
(612) 968-0094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11079-24
WI
225100000X
Physical Therapist
Primary
8449
MN
Other
Enumeration date
09/05/2008
Last updated
03/17/2025
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