PRENTICE VALVICK (NPI# 1043874639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043874639 |
| Entity Type | Individual |
| Full Name | PRENTICE VALVICK |
| Practice Address |
708 Mound Ave Mankato MN 56001-1645 |
| Practice Telephone | 5073854300 |
| Mailing Telephone | 5073854300 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
A1546 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BOARD OF PHYSICAL THERAPY | A1546 | 01 |
| Street Address |
708 MOUND AVE |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679815336 | Ecumen | Assisted Living Facility | 708 Mound Ave, Mankato, MN 56001-1645 | 2013-03-20 |
| 1134601859 | Anne K Erickson | Speech-Language Pathologist | 708 Mound Ave, Mankato, MN 56001-1645 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164815510 | Tracy Eustice | Physical Therapist | 336 N Belmont Dr, Mankato, MN 56001-5234 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102261 | Katherine Horn | Physical Therapist | 2746 Superior Dr Nw Ste 150, Rochester, MN 55901-8343 | 2018-08-01 |
| 1063811552 | Alisse Zignego | Physical Therapist | 2945 Hazelwood St Ste 320, Maplewood, MN 55109-1244 | 2014-08-20 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1629239470 | James Edward Petters | Physical Therapist | 13854 Riverview Drive Nw, Elk River, MN 55330-1626 | 2008-06-24 |
| 1760690788 | Daniel John Robertson Worley | Physical Therapist | 2842 Garfield St Ne, Minneapolis, MN 55418-3052 | 2007-05-21 |
| 1033266333 | Jacqueline Kay Harry | Physical Therapist | Medcentra, 225 N. Smith Ave, Suite 301, St. Paul, MN 55102 | 2007-01-05 |
| 1124133376 | Traci Marie Arens | Physical Therapist | 20 Thompson Ave E Ste 203, Saint Paul, MN 55118-3189 | 2006-08-20 |
| 1487281242 | Beth Anne Wespetal | Physical Therapist | 8000 Bass Lake Rd, New Hope, MN 55428-3118 | 2020-03-23 |
| 1013575489 | Heather Robbins | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2019-05-31 |
| 1467985903 | Blair Dolan | Physical Therapist | 3700 Foss Rd, Minneapolis, MN 55421-4512 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.