Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE BACK PROGRAM
Active
Organization
THE BACK PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELLEN PETERSON (CEO)
(507) 451-8254
Entity
Organization
Contact information
Practice address
1414 SO OAK AVE, STE 2 OWATONNA PHYSICAL THERAPY CENTER INC, OWATONNA, MN 55060-3957
(507) 451-8254
(507) 451-7324
Mailing address
1414 SO OAK AVE, SUITE 2 OWATONNA PHYSICAL THERAPY CENTER INC, OWATONNA, MN 55060-3957
(507) 451-8254
(507) 451-7324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6296
MN
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up