Individual ProviderTamara MuketePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475(952) 993-5900PECOS EnrollmentBased on the most recent information from CMS, provider Tamara Mukete does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013575034Provider TypeIndividualFull NameMukete, TamaraCredentialDPT, PTGenderFemaleSole ProprietorNoEnumeration Date6/4/2019Last Updated7/7/2025Contact InformationPractice LocationPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475Phone(952) 993-5900FaxUnlisted FaxMailing LocationMailing Address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense27712Maryland