Individual ProviderHolly Noele LinnPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11671 Fountains Dr, Suite 200, Maple Grove, MN 55369-4711(763) 585-0600PECOS EnrollmentBased on the most recent information from CMS, provider Holly Noele Linn 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 ID1245320902Provider TypeIndividualFull NameLinn, Holly NoeleCredentialPTGenderFemaleSole ProprietorNoEnumeration Date10/13/2006Last Updated7/8/2014Contact InformationPractice LocationPractice Address11671 Fountains Dr, Suite 200, Maple Grove, MN 55369-4711Phone(763) 585-0600FaxUnlisted FaxMailing LocationMailing Address11671 Fountains Dr, Suite 200, Maple Grove, MN 55369-4711PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7643Minnesota