Basic Information
| Provider Information | |||||||||
| NPI: | 1770811887 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THERAPY PARTNERS, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7541 9TH ST N | ||||||||
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| City: | OAKDALE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551286626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6517484338 | ||||||||
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| Practice Location | |||||||||
| Address1: | 556 LILAC ST | ||||||||
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| City: | LINO LAKES | ||||||||
| State: | MN | ||||||||
| PostalCode: | 550141053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6517847866 | ||||||||
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| ProviderEnumerationDate: | 12/01/2009 | ||||||||
| LastUpdateDate: | 12/01/2009 | ||||||||
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| AuthorizedOfficialLastName: | HOYME | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 6517474328 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.