Organization
FOURTH TRIMESTER PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASELYN MCREAKEN DPT (PHYSICAL THERAPIST)
(217) 273-0281
Entity
Organization
Contact information
Practice address
1590 GRAY FOX DR NE, OWATONNA, MN 55060-3975
(507) 774-0167
Mailing address
1590 GRAY FOX DR NE, OWATONNA, MN 55060-3975
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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