| Organization Name: | MINNESOTA MEDICAL REHABILITATIVE SERVICES, LLC |
| NPI Number: | 1154302545 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEON B FRID (MANAGING PARTNER) |
| Mailing Address: | 4201 Excelsior Blvd St. Louis Park |
| State: | MN US |
| Postal Code: | 554164728 |
| Phone Number: | 9525643880 |
| Fax Number: | 9529459536 |
| NPI Enumeration Date: | 11/11/2005 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5806 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |