Provider Demographics
NPI:1932578598
Name:LINVILLE, ABBEY (PT)
Entity Type:Individual
Prefix:MRS
First Name:ABBEY
Middle Name:
Last Name:LINVILLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 WOODDUCK DR UNIT E
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-1825
Mailing Address - Country:US
Mailing Address - Phone:641-430-8553
Mailing Address - Fax:
Practice Address - Street 1:8725 PROMENADE LN
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9622
Practice Address - Country:US
Practice Address - Phone:651-264-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA225100000X
MN10990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist