Organization
MIDWEST PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE WURM (CLINIC ADMINISTRATOR)
(612) 886-9607
Entity
Organization
Contact information
Practice address
14440 28TH PL N STE 200, PLYMOUTH, MN 55447-4854
(612) 707-0169
(612) 465-1603
Mailing address
14440 28TH PL N STE 200, PLYMOUTH, MN 55447-4854
(612) 707-0169
(612) 465-1603
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
01/09/2024
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