Organization
ATHLETEPT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT J NORLAND DPT (OWNER, CEO)
(952) 322-7383
Entity
Organization
Contact information
Practice address
7210 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3513
(952) 322-7383
Mailing address
7210 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3513
(952) 322-7383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8860
MN
Other
Enumeration date
03/02/2012
Last updated
12/06/2013
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