Thomas J Tardif
Physical Therapist
6702 E Shadow Lake Dr
Lino Lakes
, Minnesota 55014-1349
Thomas J Tardif
Physical Therapist
6702 E Shadow Lake Dr
Lino Lakes
, Minnesota 55014-1349
(207) 590-7081
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Thomas J Tardif
- 6702 E Shadow Lake Dr
- Lino Lakes, MN
- Zip : 55014-1349
- Phone : (207) 590-7081
Second Address
- Thomas J Tardif
- 6702 E Shadow Lake Dr
- Lino Lakes, MN
- Zip : 55014-1349
- Phone : (612) 643-0019
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | ||
| Y | 225100000X | Physical Therapist | 9576 | MN |
National Provider Identifier
| NPI | 1003208224 |
|---|---|
| Provider Name | Thomas J Tardif |
| First Address | Lino Lakes, MN 55014-1349 |
| Second Address | Lino Lakes, MN 55014-1349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2015 |
| Last Update Date | 07/10/2020 |
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.