Provider Demographics
NPI:1780019638
Name:TURNER, TIMOTHY FINN (MT)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:FINN
Last Name:TURNER
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 35TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1709
Mailing Address - Country:US
Mailing Address - Phone:952-200-4649
Mailing Address - Fax:612-870-1551
Practice Address - Street 1:2627 E FRANKLIN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1167
Practice Address - Country:US
Practice Address - Phone:952-200-4649
Practice Address - Fax:612-870-1551
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist