# ATHLETEPT, LLC

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

## Provider details

- **NPI number:** 1770857195
- **Authorized official:** DR. GRANT J NORLAND DPT (OWNER, CEO)
- **Authorized official phone:** (952) 322-7383

## Contact information

- **Practice address:** 7210 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3513
- **Practice address phone:** (952) 322-7383
- **Mailing address:** 7210 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3513
- **Mailing address phone:** (952) 322-7383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 8860 | MN | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 12/06/2013