Organization
THE AMAZING JOURNEY, LLC
Active
Other names
The Amazing Journey
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MEYER (OPERATIONS MANAGER)
(218) 454-4600
Entity
Organization
Contact information
Practice address
7658 DESIGN RD, SUITE 300, BAXTER, MN 56425-8439
(218) 454-4600
(218) 454-4601
Mailing address
7658 DESIGN RD, SUITE 300, BAXTER, MN 56425-8439
(218) 454-4600
(218) 454-4601
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8645
MN
225X00000X
Occupational Therapist
104320
MN
235Z00000X
Speech-Language Pathologist
8993
MN
Other
Enumeration date
02/03/2012
Last updated
04/22/2014
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