Individual
AMBER RAE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., A.T.C.
Contact information
Practice address
7707 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-3708
(952) 829-7814
Mailing address
400 CAMBRIDGE ST, APT #200, HOPKINS, MN 55343-8194
(952) 920-2524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7390
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
525P1FL
BCBS GROUP #
FM
01
—
527P1WE
BCBS PROVIDER #
MN
05
—
64-03962
—
MN
Enumeration date
08/15/2006
Last updated
07/08/2007
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