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

Stacia R Anderson, PT

Individual provider Physical Therapist · NPI 1730297300

Stacia R Anderson, PT is a Physical Therapist in Forest Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

146 Lake St N
Forest Lake, MN 55025-2518
Phone: (651) 464-8502
Fax: (651) 464-8547
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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 4512 (MN)

Record details

NPI number1730297300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESAugust 23, 2019

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