TRESSA DEE WEEDEN-BOOTZ


Address: 8071 Curtis Ln, Eden Prairie, MN 55347-1110
Phone: 6124782367

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 8071 CURTIS LN
City EDEN PRAIRIE
State MN
Zip Code 55347-1110

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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
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Taxonomy Information

Taxonomy Code 204C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

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
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Competitor

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City EDEN PRAIRIE
Zip Code 55347

Improve Information

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Dataset Information

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.

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