TRESSA DEE WEEDEN-BOOTZ (NPI# 1457963191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457963191 |
Entity Type | Individual |
Full Name | TRESSA DEE WEEDEN-BOOTZ |
Credential | MT |
Practice Address |
8071 Curtis Ln Eden Prairie MN 55347-1110 |
Mailing Address |
Po Box 17370 Lot 4059 Saint Paul MN 55117-0370 |
Practice Telephone | 6124782367 |
Mailing Telephone | 6124782367 |
Enumeration Date | 2020-08-22 |
Last Update Date | 2020-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 00000000 | MN | Allopathic & Osteopathic Physicians |
N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
00000000 | MN | Allopathic & Osteopathic Physicians |
Street Address |
8071 CURTIS LN |
City | EDEN PRAIRIE |
State | MN |
Zip Code | 55347-1110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
Find all providers in zip 55347 |
Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891841128 | Chiromed Clinic, P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 5355 Penn Ave S, Minneapolis, MN 55419-1056 | 2007-01-27 |
1639121460 | James Edmund Call Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 22015 State Highway 6, Deerwood, MN 56444-6278 | 2006-05-17 |
1164410270 | Robert A Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 640 Jackson St - Mc 11503l, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2005-10-12 |
1679560213 | Matthew A. Raml | Neuromusculoskeletal Medicine, Sports Medicine | 1500 Irving St, Alexandria, MN 56308-2515 | 2005-09-29 |
1184148017 | Andrew Jacob Olson | Neuromusculoskeletal Medicine, Sports Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-08-02 |
1528389244 | Nicolas N Madigan | Neuromusculoskeletal Medicine, Sports Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-06-16 |
1629193446 | Metropolitan Internists, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 825 S 8th St, Suite #600 Parkside Prof Bldg, Minneapolis, MN 55404-1208 | 2007-03-20 |
1275671711 | David Benjamin Ketroser | Neuromusculoskeletal Medicine, Sports Medicine | 2000 Plymouth Rd, Suite 110, Minnetonka, MN 55305-2366 | 2007-02-04 |
1528163581 | James Herbert House | Neuromusculoskeletal Medicine, Sports Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-14 |
1194751552 | Sports and Orthopaedic Specialists, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2006-06-25 |
Find all providers with the same taxonomy |
City | EDEN PRAIRIE |
Zip Code | 55347 |
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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.