Provider Demographics
NPI:1851688832
Name:LUDWIG, NAOMI ANNA (PT)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:ANNA
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 HENNEPIN TOWN RD
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-5100
Mailing Address - Country:US
Mailing Address - Phone:651-270-3920
Mailing Address - Fax:651-270-3920
Practice Address - Street 1:10300 HENNEPIN TOWN RD
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-5100
Practice Address - Country:US
Practice Address - Phone:651-270-3920
Practice Address - Fax:651-270-3920
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist