Provider Demographics
NPI:1952527061
Name:MAIXNER, FRANK M (OTRL)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:M
Last Name:MAIXNER
Suffix:
Gender:M
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10530 REDWOOD ST NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-6501
Mailing Address - Country:US
Mailing Address - Phone:612-916-2682
Mailing Address - Fax:
Practice Address - Street 1:8590 EDINBURGH CENTER DR
Practice Address - Street 2:HENNEPIN HOME HEALTH CARE
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3723
Practice Address - Country:US
Practice Address - Phone:763-425-5959
Practice Address - Fax:763-425-5929
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist