| NPI | 1073482881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT HENNINGTON Clinic Owner & Physical Therapist 612-817-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |