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

Mara Waller

Individual provider Physical Therapy Assistant · NPI 1396128427

Mara Waller is a Physical Therapy Assistant in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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Practice location Address checks out

500 Robert St N Unit 606
Saint Paul, MN 55101-4456
Phone: (612) 581-0468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A1906 (MN)

Record details

NPI number1396128427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2015
Last updated in NPPESJuly 7, 2015

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