Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY THARALDSON EX PHYS
NPI 1588577662
Clinical Exercise Physiologist in Saint Paul, MN

Active since September 28, 2026
2575 UNIVERSITY AVE W, SAINT PAUL, MN 55114(651) 254-9999 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Tharaldson Ex Phys NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY THARALDSON EX PHYS (NPI 1588577662) is an individual clinical exercise physiologist provider in Saint Paul, Minnesota and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1588577662
Entity TypeIndividualFemale
Primary Taxonomy224Y00000X
Provider Legal NameMARY THARALDSONCredential: EX PHYS
Location Address2575 UNIVERSITY AVE WSaint Paul, MN 55114-1073
Mailing Address2575 University Ave WSaint Paul, MN 55114-1073 · (651) 254-9999
Sole ProprietorNo
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1588577662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
2575 UNIVERSITY AVE W, Saint Paul, MN 55114

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
2575 UNIVERSITY AVE W, SUITE 100
SAINT PAUL, MN 55114
Respiratory Therapist, Registered (Pulmonary Rehabilitation)
2575 UNIVERSITY AVE W
SAINT PAUL, MN 55114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Tharaldson's NPI number?

The NPI number for Mary Tharaldson is 1588577662. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Where is Mary Tharaldson located?

Mary Tharaldson practices at 2575 University Ave W, Saint Paul, MN 55114. The listed phone number is (651) 254-9999.

What is Mary Tharaldson's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Mary Tharaldson was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.