Organization Name: | INTEGRATED MOTION PEDIATRIC PHYSICAL THERAPY, INC. |
NPI Number: | 1942377411 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARA STUTSMAN MASSARO (PRESIDENT) |
Mailing Address: | 4660 Slater Rd Suite #130 Eagan |
State: | MN US |
Postal Code: | 551224047 |
Phone Number: | 6512603774 |
Fax Number: | 6516886389 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5428 |
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 |