| NPI | 1528303310 |
|---|---|
| Doing Business As | MED-PLUS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GORDON CROCKETT President 218-233-7029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2022-07-21 |