Organization
MEDTHERAPY
Active
Organization
MEDTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY B PHILLIPS (OWNER)
(952) 835-6488
Entity
Organization
Contact information
Practice address
5001 AMERICAN BLVD W, SUITE 601, BLOOMINGTON, MN 55437-1108
(952) 835-6488
(952) 835-6448
Mailing address
5001 AMERICAN BLVD W, SUITE 601, BLOOMINGTON, MN 55437-1108
(952) 835-6488
(952) 835-6448
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
31205Q
MN
Other
Enumeration date
05/05/2014
Last updated
12/03/2014
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