Minnesota Medical And Rehabilitative Services, Llc

LBN: Minnesota Medical And Rehabilitative Services, Llc
Minnesota Medical And Rehabilitative Services, Llc is an health care organization with primary practice located at 4201 Excelsior Blvd , St. Louis Park MN 55416-4728. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Minnesota Medical And Rehabilitative Services, Llc can be contacted via phone (952) 564-3880, or through Frid, Leon B via phone (952) 564-3880.

Contact Information

Primary practice address
4201 Excelsior Blvd St. Louis Park MN 55416-4728
Phone: (952) 564-3880
Fax: (952) 945-9536
Website:
Map and Directions
Authorized official contact:
Name: Frid, Leon B Doctor of Chiropractic (DC)
Phone: (952) 564-3880

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1544 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5806 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2264 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102980 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5169 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6034 Minnesota

Profile Details

NPI number 1154302545
LBN Legal business name Minnesota Medical And Rehabilitative Services, Llc
DBA Doing business as
Authorized official Frid, Leon B Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Nov 30th, 2022 - about 2 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 1154302545 NPPES
Minnesota MEDICAID 407858600
Minnesota MEDICAID 1154302545

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