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Contact Information

JILLIAN TANYCH, DPT
MERCY HOSPITAL
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN55433
 Phone: 763-236-8574
 Fax: 763-236-8990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JILLIAN TANYCH · (Female)

NPI Number 1013446509
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 06/08/2017
Last updated 04/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10840
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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