Bst Morris LLC

NPI #1124216536 in Morris, Minnesota

Provider Information

NPI Number: 1124216536
Entity Type: Organization
Organization Name: Bst Morris LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 10, 2007
Last Updated: Mar 10, 2014

Practice Location

Address: 616 ATLANTIC AVE
Address 2: BST MORRIS LLC
City: Morris
State: Minnesota
ZIP Code: 56267-1380
Phone: (320) 585-5395

Authorized Official

Name: WADE D VANDOVER, PT
Title: PRESIDENT
Phone: (320) 839-4152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Physical Therapy Assistant	225200000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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