| NPI | 1487255295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARIE BRADSHAW CEO/Owner 612-432-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |