# BODYFIX PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1407356157
- **Authorized official:** TATYANA E. SIMELGOR PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (651) 417-2121

## Contact information

- **Practice address:** 13956 CLOVER LN, ROSEMOUNT, MN 55068-7145
- **Practice address phone:** (651) 417-2121
- **Mailing address:** 13956 CLOVER LN, ROSEMOUNT, MN 55068-7145
- **Mailing address phone:** (952) 200-6664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 7114 | MN | Yes |

## Other

- **Enumeration date:** 02/20/2018
- **Last updated:** 02/20/2018