| NPI | 1699073361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA THIELGES Physical Therapist Assistant 507-828-9908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: SD 0280) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |