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Individual

MRS. AMBER LINNAE BANWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, PTA

Contact information

Practice address
800 PRAIRIE CENTER DR, EDEN PRAIRIE, MN 55344-7328
(952) 746-5858
(952) 763-5859
Mailing address
12600 53RD AVE N, PLYMOUTH, MN 55442-2082
(763) 208-8973

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2255A2300X
Athletic Trainer
1416
MN

Other

Enumeration date
03/30/2007
Last updated
09/11/2025
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