# THE AMAZING JOURNEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Amazing Journey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194097337
- **Authorized official:** RYAN MEYER (OPERATIONS MANAGER)
- **Authorized official phone:** (218) 454-4600

## Contact information

- **Practice address:** 7658 DESIGN RD, SUITE 300, BAXTER, MN 56425-8439
- **Practice address phone:** (218) 454-4600
- **Practice address fax:** (218) 454-4601
- **Mailing address:** 7658 DESIGN RD, SUITE 300, BAXTER, MN 56425-8439
- **Mailing address phone:** (218) 454-4600
- **Mailing address fax:** (218) 454-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 8645 | MN | Yes |
| 225X00000X | Occupational Therapist | 104320 | MN | — |
| 235Z00000X | Speech-Language Pathologist | 8993 | MN | — |

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 04/22/2014