Healthcare Provider Details

I. General information

NPI: 1548341423
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: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4463 WHITE BEAR PKWY SUITE 108
WHITE BEAR LAKE MN
55110-7645
US

IV. Provider business mailing address

7541 9TH ST N
OAKDALE MN
55128-6626
US

V. Phone/Fax

Practice location:
  • Phone: 651-653-1350
  • 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: CLINIC OWNER
Credential: PT
Phone: 651-747-4328