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

MS. Jennifer J Mastro

Individual provider Physical Therapy Assistant · NPI 1629354477

MS. Jennifer J Mastro is a Physical Therapy Assistant in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011

Practice location Address checks out

4415 W 36 1/2 St
St Louis Park, MN 55416-4854
Phone: (952) 927-9717
Fax: (925) 927-7687
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 192A (MN)

Record details

NPI number1629354477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2011
Last updated in NPPESOctober 25, 2011

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