# ALLINA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Courage Kenny Rehabilitation Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467989194
- **Authorized official:** DOMINICA TALLARICO (COO)
- **Authorized official phone:** (612) 222-2222

## Contact information

- **Practice address:** 35 STATE AVE, FARIBAULT, MN 55021-6368
- **Practice address phone:** (800) 827-8313
- **Practice address fax:** (507) 497-3722
- **Mailing address:** PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
- **Mailing address phone:** (612) 262-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 01/23/2025