Organization Name: | PRAIRIE LAKES THERAPIES, INC. |
NPI Number: | 1235318098 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY EDWARD LOHN (PRESIDENT-OWNER) |
Mailing Address: | 2182 66th Ave Ne Willmar |
State: | MN US |
Postal Code: | 562019127 |
Phone Number: | 3202311114 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 756 |
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 |