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: ORTHOPEDIC & SPORTS REHABILIATION, LLC

MEDICARE: ORTHOPEDIC & SPORTS REHABILIATION, LLC
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
1174400000XSpecialist6935MN

General Provider Information

NPI Number : 1821205394
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC & SPORTS REHABILIATION, LLC
Provider Business Mailing Address
First Line : 7872 CENTURY BLVD
Second Line :
City : CHANHASSEN
State : MN
Zip : 55317-8005
Country : US
Telephone Number : 952-448-9081
Fax Number : 952-448-9088
Provider Business Practice Location Address
First Line : 7872 CENTURY BLVD
Second Line :
City : CHANHASSEN
State : MN
Zip : 55317-8005
Country : US
Telephone Number : 952-448-9081
Fax Number : 952-448-9088
Authorized Official
Title or Position : OWNER
Name : RUSTY WALLMAN
Credential :
Telephone Number : 952-448-9081
Provider Enumeration Date : 05/16/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1023976487 — KASSIDY Q KING DPT, PT
Practice Location Address:
7872 CENTURY BLVD
CHANHASSEN, MN
55317-8005
Practice Phone: 952-448-9081
Practice Fax: 952-448-9088
1659564243 — MRS. DANA DEEANNE BIRKHOLZ DPT
Practice Location Address:
7872 CENTURY BLVD
CHANHASSEN, MN
55317-8005
Practice Phone: 952-448-9081
Practice Fax: 952-448-9088
1417185182 — MR. BRIAN M OMMEN
Practice Location Address:
7872 CENTURY BLVD
CHANHASSEN, MN
55317-8005
Practice Phone: 952-448-9081
Practice Fax: 952-448-9088
1194018853 — JESSIE NICOLE STEVENS DPT
Practice Location Address:
7872 CENTURY BLVD
CHANHASSEN, MN
55317-8005
Practice Phone: 952-448-9081
Practice Fax:
1245527605 — KELLY ROBISON ATR
Practice Location Address:
7872 CENTURY BLVD
CHANHASSEN, MN
55317-8005
Practice Phone: 952-448-9081
Practice Fax:
1962799296 — COLE BUCHANAN ABERNATHY ATR
Practice Location Address:
7872 CENTURY BLVD
CHANHASSEN, MN
55317-8005
Practice Phone: 612-387-0668
Practice Fax:

Directions to “ORTHOPEDIC & SPORTS REHABILIATION, LLC ” 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 © 2007-2026 (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.