# PARK AVENUE THERAPIES

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

## Provider details

- **NPI number:** 1437127834
- **Authorized official:** RHONDA J. JOHNSON P.T. (OWNER)
- **Authorized official phone:** (218) 878-0805

## Contact information

- **Practice address:** 1204 CLOQUET AVE, CLOQUET, MN 55720-1622
- **Practice address phone:** (218) 878-0805
- **Practice address fax:** (218) 878-0794
- **Mailing address:** 1204 CLOQUET AVE, PO BOX 407, CLOQUET, MN 55720-1622
- **Mailing address phone:** (218) 878-0805
- **Mailing address fax:** (218) 878-0794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4406 | MN | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 11/21/2007