Viverant, LLC

NPI #1295257939 in Lakeville, Minnesota

Provider Information

NPI Number
1295257939
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 14, 2017
Last Updated
Jun 1, 2020

Practice Location

Address
21034 HERON WAY STE 102
ZIP Code
55044-8094
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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