LAKE REGION THERAPY SERVICES INC NPI 1154583292

NPI Information

NPI: 1154583292
Provider Name: LAKE REGION THERAPY SERVICES INC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
803 ROOSEVELT AVE
SUITE 301
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 844-5555
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LAKE REGION THERAPY SERVICES INC is a rehabilitation clinic center in Detroit Lakes, MN. LAKE REGION THERAPY SERVICES INC NPI is 1154583292. The provider is registered as an organization entity type.

The provider's business location address is:

803 ROOSEVELT AVE
SUITE 301
DETROIT LAKES, MN
ZIP 56501-744
Phone: (218) 844-5555
Fax: (218) 844-6057

The provider's authorized official is Jennifer Michelle Manning .
The authorized official title is Owner President and has the following contact phone number (218) 844-5555.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	9552335	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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