# NAUTILUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Replenish Wellbeing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548615131
- **Authorized official:** ANNAMARIA MCCONVILLE PT (FOUNDER)
- **Authorized official phone:** (612) 845-0707

## Contact information

- **Practice address:** 4014 RUSSELL AVE N, MINNEAPOLIS, MN 55412-1546
- **Practice address phone:** (612) 845-0707
- **Mailing address:** 4014 RUSSELL AVE N, MINNEAPOLIS, MN 55412-1546
- **Mailing address phone:** (612) 845-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 7889 | MN | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/02/2016