Prentice Valvick
Physical Therapist - Geriatrics
708 Mound Ave
Mankato
, Minnesota 56001-1645
Prentice Valvick
Physical Therapist - Geriatrics
708 Mound Ave
Mankato
, Minnesota 56001-1645
(507) 385-4300
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Prentice Valvick
- 708 Mound Ave
- Mankato, MN
- Zip : 56001-1645
- Phone : (507) 385-4300
Second Address
- Prentice Valvick
- 708 Mound Ave
- Mankato, MN
- Zip : 56001-1645
- Phone : (507) 385-4300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | A1546 | MN |
National Provider Identifier
| NPI | 1043874639 |
|---|---|
| Provider Name | Prentice Valvick |
| First Address | Mankato, MN 56001-1645 |
| Second Address | Mankato, MN 56001-1645 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2019 |
| Last Update Date | 11/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A1546 | BOARD OF PHYSICAL THERAPY (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.