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Organization

PHENOM PHYSICAL THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG L BUTTURFF MSPT (OWNER)
(320) 543-1104
Entity
Organization

Contact information

Practice address
703 THIELEN DR, SAINT MICHAEL, MN 55376-9613
(763) 497-1153
(763) 497-5256
Mailing address
PO BOX 737, HOWARD LAKE, MN 55349-0737
(320) 543-1104
(320) 543-1105

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MN

Other

Enumeration date
06/07/2016
Last updated
12/06/2016
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