Individual
SHANNA TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3073
Mailing address
2225 KENTUCKY AVE S, ST LOUIS PARK, MN 55426-2714
(406) 439-6998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8527050-2401
UT
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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