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

Mrs. Mary Kay Rose, PTA

Individual provider Physical Therapy Assistant · NPI 1316277148

Mrs. Mary Kay Rose, PTA is a Physical Therapy Assistant in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

215 Radio Dr
Woodbury, MN 55125-5815
Phone: (612) 596-6100
Fax: (612) 339-5954
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A1132 (MN)

Record details

NPI number1316277148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 29, 2009
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020

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