# LAKE AREA THERAPY SERVICES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205144672
- **Authorized official:** MS. LYNN MARIE FOLSTED PT (OWNER/MEMBER)
- **Authorized official phone:** (218) 380-8010

## Contact information

- **Practice address:** 88395 STURGEON ISLAND RD, STURGEON LAKE, MN 55783-3895
- **Practice address phone:** (218) 380-8010
- **Mailing address:** PO BOX 266, MOOSE LAKE, MN 55767-0266
- **Mailing address phone:** (218) 380-8010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2417 | MN | Yes |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 09/20/2010