Healthcare Provider Details

I. General information

NPI: 1700967676
Provider Name (Legal Business Name): THERAPY PARTNERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 06/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 WHITE BEAR AVE N SUITE A11
MAPLEWOOD MN
55109-5155
US

IV. Provider business mailing address

7551 9TH ST N SUITE 100
OAKDALE MN
55128-6629
US

V. Phone/Fax

Practice location:
  • Phone: 651-779-6543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMES HOYME
Title or Position: CEO
Credential: PT
Phone: 651-747-4328