| NPI | 1700961042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SCHULTE WIEBER Owner 507-333-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5231) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102310) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-01-24 |