DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LAKE SUPERIOR PHYSICAL THERAPY INC

MEDICARE: LAKE SUPERIOR PHYSICAL THERAPY 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1164429163
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE SUPERIOR PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 215 N CENTRAL AVE
Second Line : 14B
City : DULUTH
State : MN
Zip : 55807-2402
Country : US
Telephone Number : 218-625-6300
Fax Number : 218-724-6700
Provider Business Practice Location Address
First Line : 215 N CENTRAL AVE
Second Line : 14B
City : DULUTH
State : MN
Zip : 55807-2402
Country : US
Telephone Number : 218-625-6300
Fax Number : 218-724-6700
Authorized Official
Title or Position : BUSINESS MANAGER
Name : TERRI L WALLEN
Credential :
Telephone Number : 218-625-6300
Provider Enumeration Date : 07/05/2005
Last Update Date : 02/25/2015

Similar Medicare Providers

1538198494 — MARYANNE QUACKENBUSH LICSW
Practice Location Address:
215 N CENTRAL AVE
DULUTH, MN
55807-2402
Practice Phone: 218-624-5683
Practice Fax: 218-624-5736
1619340437 — ACCESS MUSIC THERAPY, LLC
Practice Location Address:
215 N CENTRAL AVE
DULUTH, MN
55807-2402
Practice Phone: 218-349-1792
Practice Fax:
1598128241 — HOLLY LYNN AHNEN PHARMD
Practice Location Address:
215 N CENTRAL AVE
DULUTH, MN
55807-2402
Practice Phone: 218-624-9305
Practice Fax: 218-624-0447
1427411081 — SOLOMON SIAW BAAH
Practice Location Address:
215 N CENTRAL AVE
DULUTH, MN
55807-2402
Practice Phone: 218-624-9305
Practice Fax:
1740634443 — RICHARD OLSON
Practice Location Address:
215 N CENTRAL AVE
DULUTH, MN
55807-2402
Practice Phone: 218-624-9305
Practice Fax:
1639183726 — DR. MELANIE SUE MEIER BUHR D.D.S.
Practice Location Address:
1225 E 1ST ST
DULUTH, MN
55805-2402
Practice Phone: 218-728-6445
Practice Fax: 218-724-7003

Directions to “LAKE SUPERIOR PHYSICAL THERAPY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.