Individual provider · Type 1 NPI

Joseph K. Wavra, PT

Physical Therapist · Forest Lake, MN

NPI number 1467540583 Active

Practice location

1398 Lake St S Ste 100
Forest Lake, MN 55025-2720

Fax (651) 309-0000

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X7351 (MN)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1467540583

Joseph K. Wavra, PT's National Provider Identifier is 1467540583, issued on Oct 11, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Forest Lake, MN. The record was last updated on Mar 11, 2026.