Prairie Rehabilitation Services, Inc.

NPI #1023737715 in Worthington, Minnesota

Provider Information

NPI Number: 1023737715
Entity Type: Organization
Organization Name: Prairie Rehabilitation Services, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: PRAIRIE REHABILITATION SERVICES, INC.
Primary Specialty: Physical Therapist
Enumeration Date: Aug 25, 2022
Last Updated: Aug 25, 2022

Practice Location

Address: 1216 RYANS RD 3RD FLOOR
City: Worthington
State: Minnesota
ZIP Code: 56187
Phone: (507) 343-0068

Authorized Official

Name: LEE S GLASOE
Title: ADMINISTRATOR
Phone: (605) 334-5630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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