Organization
SISU PHYSICAL THERAPY PLLC
Active
Organization
SISU PHYSICAL THERAPY PLLC
Active
Parent organization
CROSSFIT SISU.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSFIT SISU.
Authorized official
THOMAS RICHARDS (COO)
(920) 988-5893
Entity
Organization
Contact information
Practice address
2072 E CENTER CIR, PLYMOUTH, MN 55441
(920) 988-5893
Mailing address
2072 E CENTER CIR, PLYMOUTH, MN 55441
(920) 988-5893
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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