Organization
M-POWER PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH HALES (PRESIDENT/PHYSICAL THERAPIST)
(612) 226-5729
Entity
Organization
Contact information
Practice address
5107 W 98TH ST, BLOOMINGTON, MN 55437-2040
(612) 226-5729
Mailing address
5107 W 98TH ST, BLOOMINGTON, MN 55437-2040
(612) 226-5729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6782
MN
Other
Enumeration date
02/08/2018
Last updated
04/12/2018
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