Organization
MAX WELL REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L KALLBERG PT (OWNER)
(952) 412-6207
Entity
Organization
Contact information
Practice address
8690 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
(952) 440-5906
(952) 487-0707
Mailing address
8690 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
(952) 440-5906
(952) 487-0707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018K0MA
BCBSMN
MN
Enumeration date
11/24/2009
Last updated
09/15/2010
Update your record
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