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

Marci Lynn Pettman, PT

Individual provider Physical Therapist · NPI 1285383216

Marci Lynn Pettman, PT is a Physical Therapist in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11800 Xeon Blvd NW
Coon Rapids, MN 55448-2061
Phone: (763) 489-3638
Fax: (763) 647-3885
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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 5204 (MN)

Record details

NPI number1285383216
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 18, 2022
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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