Alans Physical Therapy Of Grand Rapids

LBN: Alans Physical Therapy Of Grand Rapids
Alans Physical Therapy Of Grand Rapids is an health care organization with primary practice located at 111 Golf Course Rd Suite 2, Grand Rapids MN 55744-3526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Alans Physical Therapy Of Grand Rapids can be contacted via phone (218) 999-5554, or through Dettmer, Alan Jay via phone (218) 999-5554.

Contact Information

Primary practice address
111 Golf Course Rd Suite 2 Grand Rapids MN 55744-3526
Phone: (218) 999-5554
Fax: (218) 999-7620
Website:
Map and Directions
Authorized official contact:
Name: Dettmer, Alan Jay Physical Therapist (PT)
Phone: (218) 999-5554

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 7152 Minnesota

Profile Details

NPI number 1811313612
LBN Legal business name Alans Physical Therapy Of Grand Rapids
DBA Doing business as
Authorized official Dettmer, Alan Jay Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2014
Last updated Jun 26th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811313612 NPPES
Minnesota MEDICAID 1962479436

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