Individual
HANNAH HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
500 CARLSON PKWY, MINNETONKA, MN 55305-5304
(877) 407-3422
(877) 407-4329
Mailing address
688 WILDWOOD RD, MAHTOMEDI, MN 55115-1812
(651) 429-9947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11997
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477165108
—
MN
Enumeration date
08/24/2020
Last updated
04/05/2021
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