Organization
ADVANCE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T ARNESON D.P.T. (OWNER/PHYSICAL THERAPIST)
(320) 631-2302
Entity
Organization
Contact information
Practice address
309 1ST ST NE, SUITE 101, LITTLE FALLS, MN 56345-4635
(320) 631-2302
(320) 631-2303
Mailing address
309 1ST ST NE, SUITE 101, LITTLE FALLS, MN 56345-4635
(320) 631-2302
(320) 631-2303
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6452
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650002334
MEDICARE PROVIDER PTAN
—
01
—
C05455
MEDICARE GROUP PTAN
—
01
—
DQ6109
RAILROAD MEDICARE GROUP PTAN
—
01
—
P00857989
RAILROAD MEDICARE PROVIDER PTAN
—
Enumeration date
12/16/2009
Last updated
03/08/2011
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