Organization
RE ACTIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA STANGLE DPT (OWNER)
(507) 522-5717
Entity
Organization
Contact information
Practice address
109 W MAIN ST, PIPESTONE, MN 56164-1651
(507) 522-5717
Mailing address
109 W MAIN ST, PIPESTONE, MN 56164-1651
(507) 522-5717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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