# LAKE MINNETONKA MOBILE WELLNESS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Minnetonka Mobile Wellness, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093461048
- **Authorized official:** DR. JASON STRANDBERG DC (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (952) 222-7886

## Contact information

- **Practice address:** 14604 WOODHAVEN RD, MINNETONKA, MN 55345-2362
- **Practice address phone:** (952) 222-7886
- **Practice address fax:** (612) 235-7918
- **Mailing address:** 14604 WOODHAVEN RD, MINNETONKA, MN 55345-2362
- **Mailing address phone:** (952) 222-7886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2022
- **Last updated:** 02/28/2022