| NPI | 1992923023 |
|---|---|
| Former Legal Business Name | BODYWORKS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KEITH JOSEPH SULLIVAN Owner 952-929-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 4415) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-02-04 |