| NPI | 1851172977 |
|---|---|
| Former Legal Business Name | MINDSET PHYSICAL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | BELINDA SMITH Billing Agent 231-944-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-11-06 |