Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loon State Physical Therapy

Organization Physical Therapy Clinic/Center · NPI 1194314401

Loon State Physical Therapy is a Physical Therapy Clinic/Center in Minneapolis, Minnesota. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

4420 Drew Ave S
Minneapolis, MN 55410-1337
Phone: (612) 405-8503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 N 2nd St Ste 108, Minneapolis, MN 55411-2243 — (612) 405-8503

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1194314401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Eccles — Owner · (612) 805-2676
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address5800 12th Ave S, Minneapolis, MN 55417-3239

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