Organization
BACK IN MOTION PHYSICAL THERAPY LLC
Active
Other names
Perham Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW STUART KAUFENBERG MS, PT (OWNER)
(218) 346-2464
Entity
Organization
Contact information
Practice address
505 E MAIN ST, PERHAM, MN 56573-1808
(218) 346-2464
(218) 346-2446
Mailing address
505 E MAIN ST, PERHAM, MN 56573-1808
(218) 346-2464
(218) 346-2446
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366533861
—
MN
Enumeration date
08/29/2014
Last updated
11/14/2017
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