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

Angie Rachelle Marty, LADC

Individual provider Physical Therapy Assistant · NPI 1891981593

Angie Rachelle Marty, LADC is a Physical Therapy Assistant in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

6017 Birchwood Rd
Woodbury, MN 55125-2007
Phone: (651) 354-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 304564 (MN)
Physical Therapy Assistant Taxonomy 225200000X

Record details

NPI number1891981593
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorNo
NPI enumeratedSeptember 18, 2007
Last updated in NPPESSeptember 3, 2022
Certification dateSeptember 3, 2022

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