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Contact Information

REECE MARANDA, PT, DPT
640 JACKSON ST
SAINT PAUL, MN55101-2502
 Phone: 651-254-3456
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for REECE MARANDA · (Male)

NPI Number 1891440178
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 02/15/2022
Last updated 02/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11886
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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