Dr. Andrew Haley, DPT
Physical Therapist in Saint Louis Park, MN. Individual provider (NPI-1).
NPI number1306405204
StatusActive
Last updated in NPPESJun 13, 2019
Details
- NPI
- 1306405204
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Haley
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2019
- Last updated
- Jun 13, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11484 | MN | Yes |
Practice location
5050 W 36th St Ste 100Saint Louis Park, MN 55416-5470
Phone 952-925-4085
Mailing address
5050 W 36th St Ste 100Saint Louis Park, MN 55416-5470
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Physical Therapist providers in Saint Louis Park · All 441 providers in Saint Louis Park
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