| Organization Name: | LIFESPAN HEALTH CONSULTANTS |
| NPI Number: | 1225438336 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KERRY L. WEISS (OWNER) |
| Mailing Address: | 13299 Hudson Rd S Afton |
| State: | MN US |
| Postal Code: | 550019303 |
| Phone Number: | 6512633282 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2014 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 4926 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |