# BRIGHT STAR 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174129340
- **Authorized official:** ABDIRAHMAN MOHAMED SR. (OWNER)
- **Authorized official phone:** (612) 990-8631

## Contact information

- **Practice address:** 1500 1ST AVE NE STE 100, ROCHESTER, MN 55906-4170
- **Practice address phone:** (612) 990-8631
- **Practice address fax:** (612) 886-2618
- **Mailing address:** 1500 1ST AVE NE STE 100, ROCHESTER, MN 55906-4170
- **Mailing address phone:** (612) 990-8631
- **Mailing address fax:** (612) 886-2618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2020
- **Last updated:** 12/11/2020