Most Relevant Information
Provider Data
| NPI Number: | 1003466467 |
| Provider Name: | LAKEN FRERICKS DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11660 |
Most Important Dates
| Enumeration Date: | 09/18/2019 |
| Last Updated: | 09/18/2019 |
Provider Practice Location
651 NICOLLET MALL STE 275
MINNEAPOLIS
MN
554021647
Practice Location Phone/Fax
| Phone: | 6123315757 |
| Fax: | 7632607653 |
Provider Mailing Location
11995 SINGLETREE LN STE 120
EDEN PRAIRIE
MN
553445338
Provider Mailing Phone/Fax
| Phone: | 9523735720 |
| Fax: | 7632607653 |