MEDICARE: HER PURPOSE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1003491911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HER PURPOSE INC

Provider Business Mailing Address
First Line	:	400 S 4TH ST STE 401
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1419
Country	:	US
Telephone Number	:	952-228-9095
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 S 4TH ST STE 401
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1419
Country	:	US
Telephone Number	:	952-228-9095
Fax Number	:

Authorized Official
Title or Position	:	CEO/ FOUNDER
Name	:	SHAMEKA LOWE
Credential	:
Telephone Number	:	952-228-9095

Provider Enumeration Date	:	03/11/2021
Last Update Date	:	03/11/2021

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Directions to “HER PURPOSE INC ” Practice Location

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