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

MS. Katherine Mazan, PT

Individual provider Massage Therapist · NPI 1548796832

MS. Katherine Mazan, PT is a Physical Therapist in Private Practice in Little Canada, Minnesota. Qualified in 2017, 9 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
9
Licensed in
IL, MN
In the registry since
2017
Specialties on file
2
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

2800 Rice St Ste 159
Little Canada, MN 55113-2277
Phone: (651) 330-2286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2443 Larpenteur Ave W, Saint Paul, MN 55113-5234 — (507) 219-5561

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10822 (MN)
Massage Therapist Taxonomy 225700000X · Licence 227017598 (IL)

Record details

NPI number1548796832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESMarch 18, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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