Provider Demographics
NPI:1497300131
Name:HOERNER, ANTHONY P (PTA)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:P
Last Name:HOERNER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 ROBERTS RD SW
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-2100
Mailing Address - Country:US
Mailing Address - Phone:605-290-7716
Mailing Address - Fax:
Practice Address - Street 1:410 LUELLA ST
Practice Address - Street 2:
Practice Address - City:WATKINS
Practice Address - State:MN
Practice Address - Zip Code:55389-1012
Practice Address - Country:US
Practice Address - Phone:320-764-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNA1649225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant