Organization
LIFESPAN HEALTH CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY L. WEISS P.T. (OWNER)
(651) 263-3282
Entity
Organization
Contact information
Practice address
13299 HUDSON RD S, AFTON, MN 55001-9303
(651) 263-3282
Mailing address
13299 HUDSON RD, AFTON, MN 55001
(651) 263-3282
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4926
MN
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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