Provider Demographics
NPI:1578248506
Name:CHRISTINSEN, GABRIELLE (DPT)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:CHRISTINSEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 GRAND AVE S APT 2
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1407
Mailing Address - Country:US
Mailing Address - Phone:507-250-5141
Mailing Address - Fax:
Practice Address - Street 1:15 8TH AVE N # 1
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-7670
Practice Address - Country:US
Practice Address - Phone:952-933-5085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic