# LIFESTYLE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1508477068
- **Authorized official:** PATRICIA J WHITNEY PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (651) 485-2028

## Contact information

- **Practice address:** 6940 NEWBURY RD, WOODBURY, MN 55125-4500
- **Practice address phone:** (651) 485-2028
- **Practice address fax:** (651) 688-0957
- **Mailing address:** 6940 NEWBURY RD, WOODBURY, MN 55125-4500
- **Mailing address phone:** (651) 485-2028
- **Mailing address fax:** (651) 688-0957

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2020
- **Last updated:** 08/10/2020