Viverant, LLC
NPI #1124540968 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1124540968
- Entity Type
- Organization
- Organization Name
- Viverant, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VIVERANT PT LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 13, 2017
- Last Updated
- Jun 1, 2020
Practice Location
- Address
- 3912 EXCELSIOR BLVD
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4709
- Phone
- (952) 835-4512
Authorized Official
- Name
- MICHAEL LANHAM
- Title
- DIRECTOR
- Phone
- (952) 835-4512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Physical Therapist |
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