Organization
KINESIS PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M PETERSON P.T. (OWNER/PHYSICAL THERAPIST)
(320) 654-9838
Entity
Organization
Contact information
Practice address
1521 NORTHWAY DR, SUITE #116, SAINT CLOUD, MN 56303-4489
(320) 654-9838
(320) 654-0981
Mailing address
1521 NORTHWAY DR, SUITE #116, SAINT CLOUD, MN 56303-4489
(320) 654-9838
(320) 654-0981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117577700
—
MN
01
—
47777KI
BLUE CROSS BLUE SHIELD
MN
01
—
81908
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
05/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us