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Jeremiah Hales, MS,LPT
Specialist in Bloomington, Minnesota
NPI 1457327363

Jeremiah Hales is a Specialist based in Bloomington, MN. Jeremiah Hales practices in Bloomington, MN and has the professional credentials of MS,LPT. The NPI Number for Jeremiah Hales is 1457327363 and holds a License No. 6782 (Minnesota).

The current practice location address for Jeremiah Hales is 5107 W 98Th St, Bloomington, MN and can be reached out via phone at 612-226-5729. You can also correspond with Jeremiah Hales through the mailing address at 5107 W 98TH ST, BLOOMINGTON, MN - 55437-2040 (mailing address contact number: 612-226-5729).

Location: 5107 W 98Th St, Bloomington, MN, 55437-2040
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Provider Profile Details
NPI Number
1457327363
Provider Name
Jeremiah Hales
Credential
MS,LPT
Provider Entity Type
Individual
Gender
Male
Address
5107 W 98Th St, Bloomington, MN, 55437-2040
Phone Number
612-226-5729
Fax Number
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
423915600 05 MN
77G34HA 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5107 W 98Th St
City
State
Zip
55437-2040
Phone Number
612-226-5729
Fax Number
person
Provider Business Mailing Address Details
Address
5107 W 98Th St
City
State
Zip
55437-2040
Phone Number
612-226-5729
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
6782 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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