Provider Demographics
NPI:1528036951
Name:UHL, JOELLEN M (PT)
Entity Type:Individual
Prefix:
First Name:JOELLEN
Middle Name:M
Last Name:UHL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14509 MINNETONKA DR
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2208
Mailing Address - Country:US
Mailing Address - Phone:952-933-7501
Mailing Address - Fax:
Practice Address - Street 1:14509 MINNETONKA DR
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-2208
Practice Address - Country:US
Practice Address - Phone:952-933-7501
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4933225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist