# LIBERTY PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1497474274
- **Authorized official:** NATHAN PRISSEL DPT (CEO & DOCTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (715) 495-6918

## Contact information

- **Practice address:** 272 CIMARRON RD, APPLE VALLEY, MN 55124-4417
- **Practice address phone:** (715) 495-6918
- **Mailing address:** 272 CIMARRON RD, APPLE VALLEY, MN 55124-4417
- **Mailing address phone:** (715) 495-6918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 08/24/2022