| NPI | 1104822717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL J MICHAELIS Physical Therapist Owner 763-682-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 2776) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |