Provider Demographics
NPI:1730259037
Name:WOLFE, DANIEL T (PT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:T
Last Name:WOLFE
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:10900 73RD AVE N
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5458
Mailing Address - Country:US
Mailing Address - Phone:763-315-1296
Mailing Address - Fax:763-315-1297
Practice Address - Street 1:6550 YORK AVE S
Practice Address - Street 2:SUITE 520
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2347
Practice Address - Country:US
Practice Address - Phone:952-924-0199
Practice Address - Fax:952-924-0314
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2013-12-12
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Provider Licenses
StateLicense IDTaxonomies
MN2546225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist