Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mary Tharaldson, EXPHYS

Individual provider Clinical Exercise Physiologist · NPI 1588577662

Mary Tharaldson, EXPHYS is a Clinical Exercise Physiologist in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

2575 University Ave W
Saint Paul, MN 55114-1073
Phone: (651) 254-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Exercise Physiologist (primary) Taxonomy 224Y00000X (MN)

Record details

NPI number1588577662
Entity typeIndividual (Type 1)
GenderFemale
Credentials EXPHYS
Sole proprietorNo
NPI enumeratedSeptember 28, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

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