# ADVANTAGE THERAPY

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

## Provider details

- **NPI number:** 1700301884
- **Authorized official:** MR. CHAD ALAN BARIBEAU PT (PRESIDENT/PHYSICAL THERAPIST)
- **Authorized official phone:** (218) 780-4554

## Contact information

- **Practice address:** 227 MCKINLEY AVE, EVELETH, MN 55734-1606
- **Practice address phone:** (218) 780-4554
- **Practice address fax:** (218) 744-9631
- **Mailing address:** 227 MCKINLEY AVE, EVELETH, MN 55734-1606
- **Mailing address phone:** (218) 780-4554
- **Mailing address fax:** (218) 744-9631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6361 | MN | Yes |
| 225X00000X | Occupational Therapist | 101012 | MN | — |

## Other

- **Enumeration date:** 08/09/2017
- **Last updated:** 08/09/2017