Individual
JULIE ANN HAUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10721 SMETANA RD, MINNETONKA, MN 55343-8080
(952) 936-9215
(952) 936-9942
Mailing address
11505 BASSWOOD LN N, CHAMPLIN, MN 55316-1969
(763) 427-7688
(763) 427-7188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2630
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85609HA
BC/BS
MN
01
—
HP31027
HEALTHPARTNERS
—
Enumeration date
09/06/2005
Last updated
07/08/2007
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