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Organization
SELECT THERAPY, INC.
Active
Organization
SELECT THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR LEE HARTING M.P.T. (PHYSICAL THERAPIST/CEO)
(218) 824-5027
Entity
Organization
Contact information
Practice address
14884 KIRKWOOD DRIVE, BAXTER, MN 56425
(218) 824-5027
(218) 824-8011
Mailing address
14884 KIRKWOOD DR, BAXTER, MN 56425-8451
(218) 824-5027
(218) 824-8011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292978300
—
MN
Enumeration date
09/08/2005
Last updated
09/23/2010
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