Individual
JOSEPH K WAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1398 LAKE ST S STE 100, FOREST LAKE, MN 55025-2720
(651) 275-2700
(651) 309-0000
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7351
MN
Other
Enumeration date
10/11/2006
Last updated
03/11/2026
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