Organization Name: | REALIEF NEUROPATHY CENTER OF MINNESOTA PA |
NPI Number: | 1578813911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY KELM (PRESIDENT) |
Mailing Address: | 1660 Highway 100 S Suite 145 St Louis Park |
State: | MN US |
Postal Code: | 554161529 |
Phone Number: | 9524566160 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9167 |
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 |