Individual ProviderMark Alan HermesPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9325 Upland Ln N Ste 230, Maple Grove, MN 55369-4450(763) 315-0466(651) 748-4338PECOS EnrollmentBased on the most recent information from CMS, provider Mark Alan Hermes 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 ID1831683952Provider TypeIndividualFull NameHermes, Mark AlanTitleDr.CredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date6/21/2018Last Updated11/15/2024Contact InformationPractice LocationPractice Address9325 Upland Ln N Ste 230, Maple Grove, MN 55369-4450Phone(763) 315-0466Fax(763) 260-7653Mailing LocationMailing Address1939 Minnehaha Ave W Ste 300, Saint Paul, MN 55104-1033Phone(651) 748-4338Fax(651) 748-2892Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11175Minnesota