# PHOENIX PHYSICAL THERAPY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Seeds of Change Health and Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033115084
- **Authorized official:** DORI C. BROWN MPT (PRESIDENT)
- **Authorized official phone:** (952) 314-9419

## Contact information

- **Practice address:** 3939 W 69TH ST UNIT B, EDINA, MN 55435-2001
- **Practice address phone:** (952) 562-2420
- **Practice address fax:** (952) 562-2421
- **Mailing address:** 4408 HARRIET AVE, MINNEAPOLIS, MN 55419-4851
- **Mailing address phone:** (952) 314-9419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 02/01/2020