Braudy, Renata Anne
Braudy, Renata Anne is an individual health care provider with primary practice located at 5959 Baker Rd Ste 340 , Minnetonka MN 55345-5984. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Braudy, Renata Anne can be contacted via phone (651) 348-7428.Contact Information
Primary practice address
5959 Baker Rd Ste 340
Minnetonka MN 55345-5984
Phone: (651) 348-7428
Fax: (651) 348-7432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5989 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9160 | Minnesota |
Profile Details
| NPI number | 1821159831 |
|---|---|
| LBN Legal business name | Braudy, Renata Anne |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821159831 | NPPES |
| Arizona | MEDICAID | 756140 |
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