Organization Name: | LAKE AREA THERAPY SERVICES,LLC |
NPI Number: | 1205144672 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN MARIE FOLSTED (OWNER/MEMBER) |
Mailing Address: | 88395 Sturgeon Island Rd Sturgeon Lake |
State: | MN US |
Postal Code: | 557833895 |
Phone Number: | 2183808010 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |