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General NPI Number Information
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NPI Number | 1437011996
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Entity Type | Organization
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Legal Business Name | SELECT THERAPY, INC.
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 31170 GOVERNMENT DR
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City | PEQUOT LAKES
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State | MN
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Zip | 56472-1001
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Country | US
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Telephone | 218-824-5027
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Fax | 218-824-8011
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Provider Business Mailing Address
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Address Line | 14884 KIRKWOOD DR
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City | BAXTER
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State | MN
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Zip | 56425-8451
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Country | US
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Telephone | 218-824-5027
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Fax | 218-824-8011
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | SARA CARLSON
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Credential | MS, OTR/L, CHT
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Telephone | 218-824-5027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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