Healthcare Provider Details

I. General information

NPI: 1013244110
Provider Name (Legal Business Name): MUELLERS SENSORY WORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 HOFFMAN RD
MANKATO MN
56001-5863
US

IV. Provider business mailing address

2132 HOFFMAN RD
MANKATO MN
56001-5863
US

V. Phone/Fax

Practice location:
  • Phone: 507-386-7401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number100801
License Number StateMN

VIII. Authorized Official

Name: MS. PAMELA C MUELLER
Title or Position: LICENSED OCCUPATIONAL THERAPIST
Credential:
Phone: 507-386-7401