Bryan Dorn is a Sports in Excelsior, Minnesota. Bryan Dorn practices all healthcare services and medical treatments related to Sports. The NPI Number for Bryan Dorn is 1376701250. The last update date is 2009-10-05.
Bryan Dorn's current location address is 23505 Smithtown Rd Ste 100, Excelsior, Minnesota. You can contact this provider via phone number 9524708555 and fax number 9524018785. The mailing address for Bryan Dorn is 23505 Smithtown Rd Ste 100, Excelsior, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Dorn |
|---|---|
| Address | 23505 Smithtown Rd Ste 100, Excelsior, Minnesota |
| Phone Number | 9524708555 |
| Fax Number | 9524018785 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1376701250 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2009-10-05 |
Provider Mailing Address Detail
| Address | 23505 Smithtown Rd Ste 100 |
|---|---|
| City | Excelsior |
| State | Minnesota (MN) |
| Post Code | 553314542 |
| Phone Number | 9524708555 |
| Fax Number | 9524018785 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 5623 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique identifier code issued to Bryan Dorn by the Centers for Medicare & Medicaid Services?
The Bryan Dorn has been assigned the NPI (National Provider Identifier) 1376701250. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bryan Dorn?
The Bryan Dorn is physically situated at 23505 Smithtown Rd Ste 100, in the city of Excelsior, state of MN, with the postal code 553314542.
What is the Bryan Dorn's specialty and taxonomy code?
The Bryan Dorn's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did the Bryan Dorn receive its 1376701250 assignment from the Centers for Medicare & Medicaid Services?
The Bryan Dorn was assigned its 1376701250 by the Centers for Medicare & Medicaid Services on 2008-05-28.
When was the information related to Bryan Dorn most recently updated or refreshed?
The details pertaining to the Bryan Dorn, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-10-05.