Provider Demographics
NPI:1871765099
Name:VOGT, BOBBI KAY (PT,CLT-LANA)
Entity type:Individual
Prefix:MRS
First Name:BOBBI
Middle Name:KAY
Last Name:VOGT
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Gender:F
Credentials:PT,CLT-LANA
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Mailing Address - Street 1:333 SMITH AVE N
Mailing Address - Street 2:INTERNAL ZIP 60104
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2344
Mailing Address - Country:US
Mailing Address - Phone:651-241-8290
Mailing Address - Fax:651-241-7177
Practice Address - Street 1:333 SMITH AVE N
Practice Address - Street 2:INTERNAL ZIP 60104
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2344
Practice Address - Country:US
Practice Address - Phone:651-241-8290
Practice Address - Fax:651-241-7177
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
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Provider Licenses
StateLicense IDTaxonomies
MN2093225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist