Viverantos, LLC

NPI #1346773330 in Roseville, Minnesota

Provider Information

NPI Number: 1346773330
Entity Type: Organization
Organization Name: Viverantos, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 6, 2017
Last Updated: Apr 6, 2017

Practice Location

Address: 1769 LEXINGTON AVE N
Address 2: 286
City: Roseville
State: Minnesota
ZIP Code: 55113-6522
Phone: (218) 624-2794

Authorized Official

Name: MICHAEL RYAN LANHAM
Title: DIRECTOR
Phone: (952) 835-4512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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