# MAX WELL REHABILITATION LLC

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

## Provider details

- **NPI number:** 1568790889
- **Authorized official:** JEFFREY L KALLBERG PT (OWNER)
- **Authorized official phone:** (952) 412-6207

## Contact information

- **Practice address:** 8690 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
- **Practice address phone:** (952) 440-5906
- **Practice address fax:** (952) 487-0707
- **Mailing address:** 8690 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
- **Mailing address phone:** (952) 440-5906
- **Mailing address fax:** (952) 487-0707

## Taxonomy

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

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 09/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 018K0MA | BCBSMN | MN |
