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

Hailey Phoulavan, DPT

Individual provider Physical Therapist · NPI 1245111947

Hailey Phoulavan, DPT is a Physical Therapist in Private Practice in West St Paul, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

60 Marie Ave E Ste 203
West St Paul, MN 55118-5932
Phone: (651) 451-6156
Fax: (651) 451-0387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14100 (MN)

Record details

NPI number1245111947
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address897 Redwell Ln, Apple Valley, MN 55124-8943

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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