Provider Demographics
NPI:1477635001
Name:LOO, DANA (MS,CES)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:LOO
Suffix:
Gender:F
Credentials:MS,CES
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:SCHWIETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CES
Mailing Address - Street 1:23381 WOODLAND RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-5271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 E NICOLLET BLVD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5714
Practice Address - Country:US
Practice Address - Phone:952-892-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner