Provider Demographics
NPI:1154162071
Name:MUELLER, COLE GARDNER (DPT)
Entity type:Individual
Prefix:DR
First Name:COLE
Middle Name:GARDNER
Last Name:MUELLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1295 DUNBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-1853
Mailing Address - Country:US
Mailing Address - Phone:651-485-6954
Mailing Address - Fax:
Practice Address - Street 1:2205 2ND ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-2450
Practice Address - Country:US
Practice Address - Phone:507-252-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist