Phenom Physical Therapy INC
NPI #1902255383 in Saint Michael, Minnesota
Provider Information
- NPI Number
- 1902255383
- Entity Type
- Organization
- Organization Name
- Phenom Physical Therapy INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 7, 2016
- Last Updated
- Dec 6, 2016
Practice Location
- Address
- 703 THIELEN DR
- City
- Saint Michael
- State
- Minnesota
- ZIP Code
- 55376-9613
- Phone
- (763) 497-1153
Authorized Official
- Name
- CRAIG L BUTTURFF, MSPT
- Title
- OWNER
- Phone
- (320) 543-1104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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