Provider Demographics
NPI:1972909091
Name:REIMANN, TRICIA E (DPT)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:E
Last Name:REIMANN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:VANSELOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:7825 3RD ST N
Mailing Address - Street 2:STE 105
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5444
Mailing Address - Country:US
Mailing Address - Phone:877-609-0123
Mailing Address - Fax:888-425-0398
Practice Address - Street 1:3750 32ND AVE S STE 108
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5998
Practice Address - Country:US
Practice Address - Phone:701-963-0777
Practice Address - Fax:888-425-0398
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9792225100000X
ND1805225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND157966OtherOPTUM (UNITED HEALTH CARE)