Organization
SISU PHYSICAL THERAPY
Active
Parent organization
CROSSFIT SISU
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSFIT SISU
Authorized official
THOMAS RICHARDS (OWNER)
(612) 998-3590
Entity
Organization
Contact information
Practice address
2072 E CENTER CIR, PLYMOUTH, MN 55441-3802
(920) 988-5893
Mailing address
2072 E CENTER CIR, PLYMOUTH, MN 55441-3802
(920) 988-5893
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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