Individual
JOSHUA R TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6601 LYNDALE AVE S, RICHFIELD, MN 55423-2477
(612) 775-5190
Mailing address
214 CIMARRON RD, APPLE VALLEY, MN 55124-9793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7148
MN
Other
Enumeration date
08/09/2006
Last updated
01/06/2020
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