Provider Demographics
NPI:1386370187
Name:JOST, CARLI JEAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CARLI
Middle Name:JEAN
Last Name:JOST
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:CARLI
Other - Middle Name:JEAN
Other - Last Name:MCWILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1939 MINNEHAHA AVE W STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1033
Mailing Address - Country:US
Mailing Address - Phone:651-748-4338
Mailing Address - Fax:651-748-2892
Practice Address - Street 1:11995 SINGLETREE LN STE 120
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-5338
Practice Address - Country:US
Practice Address - Phone:952-373-5720
Practice Address - Fax:763-260-7653
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12729225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist