Laurie Pass

Physical Therapy Assistant · Canton, MN

Individual Active NPI

NPI number 1609295880

Practice location

11262 CTY Rd 21
Canton, MN 55922
Phone
(608) 769-6666

Open in Google Maps

NPI record

NPI
1609295880
Entity type
Individual (Type 1)
Enumeration date
April 15, 2014
Last updated
April 15, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 004850 IA
Physical Therapy Assistant 225200000X A1536 MN

About Laurie Pass

Laurie Pass is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 11262 CTY Rd 21, Canton, MN 55922. The NPI number 1609295880 was assigned on April 15, 2014 and the record was last updated on April 15, 2014.

Laurie Pass lists 2 licenses in the registry: #004850 (IA) for Physical Therapy Assistant; #A1536 (MN) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Laurie Pass?

The NPI number is 1609295880.

What is the phone number of Laurie Pass?

The phone number listed for the practice location is (608) 769-6666.

Where is Laurie Pass located?

11262 CTY Rd 21, Canton, MN 55922.

What is the taxonomy code for Laurie Pass?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.