Melissa Hennes, DPT | |
5250 W 74th St Ste 8, Edina, MN 55439-2229 | |
(612) 562-8656 | |
Not Available |
Full Name | Melissa Hennes |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5250 W 74th St Ste 8, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760806483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9449 (Minnesota) | Primary |
Provider Name | Neal Fife Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184175614 PECOS PAC ID: 3870873896 Enrollment ID: O20161209000417 |
Mailing Address | Practice Location Address |
---|---|
Melissa Hennes, DPT 5250 W 74th St Ste 8, Edina, MN 55439-2229 Ph: (612) 562-8656 | Melissa Hennes, DPT 5250 W 74th St Ste 8, Edina, MN 55439-2229 Ph: (612) 562-8656 |
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Mrs. Amy Michelle Boyden-hoekstra, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6545 France Ave S, Suite 373, Edina, MN 55435 Phone: 952-835-4512 Fax: 952-516-5655 | |
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