Provider Demographics
NPI:1851687826
Name:SEPPELT, ERIC M (DPT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:SEPPELT
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:4200 DAHLBERG DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4840
Mailing Address - Country:US
Mailing Address - Phone:952-512-5600
Mailing Address - Fax:952-512-5651
Practice Address - Street 1:2855 CAMPUS DR
Practice Address - Street 2:SUITE 650 & 660
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2649
Practice Address - Country:US
Practice Address - Phone:763-520-1240
Practice Address - Fax:763-520-7889
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2014-05-08
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Provider Licenses
StateLicense IDTaxonomies
MN8759225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN650002795Medicare PIN