| Dr Patrick Lyle King, PT, DPT, MSC | |
|
1625 Radio Dr Ste 220, Woodbury, MN 55125-9476 | |
| (651) 241-3636 | |
| (651) 241-3646 |
| Full Name | Dr Patrick Lyle King |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1625 Radio Dr Ste 220, Woodbury, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104465632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11667 (Minnesota) | Primary |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Lyle King, PT, DPT, MSC 6562 Janero Bay S, Cottage Grove, MN 55016-2377 Ph: (651) 755-2202 | Dr Patrick Lyle King, PT, DPT, MSC 1625 Radio Dr Ste 220, Woodbury, MN 55125-9476 Ph: (651) 241-3636 |
Mrs. Andrea J Hermann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 Radio Dr, Suite 220, Woodbury, MN 55125 Phone: 651-241-3636 Fax: 651-241-3646 | |
Bradley Leafblad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Radio Dr, # 120, Woodbury, MN 55125 Phone: 651-735-6100 Fax: 651-735-6106 | |
Ms. Mary Kathleen Delacy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6025 Lake Rd, Woodbury, MN 55125 Phone: 612-439-4222 Fax: 651-730-1979 | |
Eric Lee Kaufmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 155 Radio Dr, Woodbury, MN 55125 Phone: 952-831-8742 | |
Anne Marie Gabriel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 Radio Dr, Suite 220, Woodbury, MN 55125 Phone: 651-241-3636 | |
Dr. Ariana Diane Lopez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 Radio Dr Ste 220, Woodbury, MN 55125 Phone: 651-241-3636 | |
Dr. Ana Schaff, PT, DPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7555 Bailey Rd, Woodbury, MN 55129 Phone: 651-209-9170 |