| NPI | 1558030098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARIE YANKOWIAK Physical Therapist 218-591-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2026-08-24 |