Healthcare Provider Details

I. General information

NPI: 1275683864
Provider Name (Legal Business Name): ANGELA MORROW REHABILITATION PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 MAIN ST SE SUITE 132
MINNEAPOLIS MN
55414
US

IV. Provider business mailing address

125 MAIN ST SE SUITE 132
MINNEAPOLIS MN
55414
US

V. Phone/Fax

Practice location:
  • Phone: 612-378-9300
  • Fax: 612-676-0225
Mailing address:
  • Phone: 612-378-9300
  • Fax: 612-676-0225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4120
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4120
License Number StateMN

VIII. Authorized Official

Name: DR. ANGELA APRIL SCHULZ
Title or Position: OWNER
Credential: DC
Phone: 612-378-9300