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

Bradley Baker

Individual provider Physical Therapist · NPI 1174043319

Bradley Baker is a Physical Therapist in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017

Practice location Address checks out

15301 Grove Cir N
Maple Grove, MN 55369-4475
Phone: (952) 993-5900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10752 (MN)

Record details

NPI number1174043319
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

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