Individual
BRIAN RUSSELL LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2645 VIKINGS CIR, EAGAN, MN 55121-1000
(952) 456-7600
(952) 456-7601
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(763) 520-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10994
MN
225100000X
Physical Therapist
11805
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065467
—
AZ
Enumeration date
05/08/2014
Last updated
03/21/2018
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