Organization
PREMIER PHYSICAL THERAPY CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG CARNEY COWELL RPT (OWNER PHYSICAL THERAPIST)
(763) 576-3030
Entity
Organization
Contact information
Practice address
3867 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433
(763) 576-3030
(763) 576-8383
Mailing address
3867 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433
(763) 576-3030
(763) 576-8383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1966
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316946528
NPI
MN
01
—
1447259445
NPI DEAN ERIE
MN
01
—
1811996754
CRAIG D JOHNSON NPI
MN
Enumeration date
11/09/2006
Last updated
08/22/2020
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