Viverant, LLC

NPI #1700237450 in Lakeville, Minnesota

Provider Information

NPI Number: 1700237450
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: Jun 23, 2016
Last Updated: Jun 1, 2020

Practice Location

Address: 21034 HERON WAY
Address 2: STE 102
City: Lakeville
State: Minnesota
ZIP Code: 55044-8093
Phone: (952) 835-4512

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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