# JAG HEALTH LLC

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

## Provider details

- **NPI number:** 1407555758
- **Authorized official:** DR. STEVEN WYNIA PT (OWNER)
- **Authorized official phone:** (763) 299-5677

## Contact information

- **Practice address:** 13640 OLIVIA CT, BECKER, MN 55308-9381
- **Practice address phone:** (763) 299-5677
- **Mailing address:** 13640 OLIVIA CT, BECKER, MN 55308-9381
- **Mailing address phone:** (763) 299-5677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 06/24/2025