Provider Demographics
NPI:1912248568
Name:HARTMAN, PAULA M (CMT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:M
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7658 DESIGN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8698
Mailing Address - Country:US
Mailing Address - Phone:218-454-4600
Mailing Address - Fax:218-454-4601
Practice Address - Street 1:7658 DESIGN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8698
Practice Address - Country:US
Practice Address - Phone:218-454-4600
Practice Address - Fax:218-454-4601
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist