Organization
FILLMORE COUNTY PHYSICAL THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA STENSRUD DPT (OWNER)
(507) 867-8007
Entity
Organization
Contact information
Practice address
212 FILLMORE ST W, PRESTON, MN 55965-1226
(507) 867-8007
(507) 867-8018
Mailing address
212 FILLMORE ST W, PRESTON, MN 55965-1226
(507) 867-8007
(507) 867-8018
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8021
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09048
MEDICARE PTAN
MN
Enumeration date
01/30/2012
Last updated
08/14/2014
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