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General NPI Number Information
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NPI Number | 1376422071
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Entity Type | Organization
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Legal Business Name | TOTAL ENERGY THERAPY SERVICES LLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2021 31ST AVE S APT 2
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-4540
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Country | US
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Telephone | 612-275-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 31ST AVE S APT 2
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-4540
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Country | US
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Telephone | 612-275-8196
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Fax |
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Authorized Official
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Title or Position | OWNER & FOUNDER
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Name | TIMOTHY MICHAEL JOHNSON
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Credential | DPT
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Telephone | 612-275-8196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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