Provider Demographics
NPI:1801404892
Name:GAMERDINGER, XAARKI ANN (DPT)
Entity Type:Individual
Prefix:DR
First Name:XAARKI
Middle Name:ANN
Last Name:GAMERDINGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:XAARKI
Other - Middle Name:ANN
Other - Last Name:SEIDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6475 REGENCY LN
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7839
Mailing Address - Country:US
Mailing Address - Phone:608-615-2302
Mailing Address - Fax:
Practice Address - Street 1:8301 GOLDEN VALLEY RD STE 202
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4475
Practice Address - Country:US
Practice Address - Phone:763-257-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist