| NPI | 1992224331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN KRAUSE-ROBERTS PT, President, CEO 218-641-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-12-05 |