Viverant, LLC

NPI #1295257491 in Eagan, Minnesota

Provider Information

NPI Number: 1295257491
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 10, 2017
Last Updated: Jun 1, 2020

Practice Location

Address: 3365 CENTRAL PARK VILLAGE DR STE 100
City: Eagan
State: Minnesota
ZIP Code: 55121-7707
Phone: (952) 835-4512

Authorized Official

Name: MICHAEL LANHAM
Title: DIRECTOR, OPERATIONS
Phone: (208) 854-7854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Physical Therapist	225100000X	Primary

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