institution
Functional Integrated Therapy, Ltd
Rehabilitation Clinic/Center in Maplewood, Minnesota
NPI 1477640613

Functional Integrated Therapy, Ltd is a Rehabilitation Clinic/Center based in Maplewood, MN and is specialized in Rehabilitation. Functional Integrated Therapy, Ltd practices in Maplewood, MN. The NPI Number for Functional Integrated Therapy, Ltd is 1477640613 and holds a License No. 100591 (Minnesota).

The current practice location address for Functional Integrated Therapy, Ltd is 2495 Maplewood Drive, Maplewood, MN and can be reached out via phone at 651-770-8884 and via fax at 651-770-8151.

Location: 2495 Maplewood Drive, Maplewood, MN, 55109-1913
institution
Provider Profile Details
NPI Number
1477640613
Provider Name
Functional Integrated Therapy, Ltd
Credential
Provider Entity Type
Organization
Address
2495 Maplewood Drive, Maplewood, MN, 55109-1913
Phone Number
651-770-8884
Fax Number
651-770-8151
Provider Enumeration Date
10/09/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0007336046 01 MN AETNA
133343 01 MN CHOICE PLUS/PATIENT CHOIC
28D39FU 01 MN BLUE CROSS BLUE SHIELD
6401782 01 MN MEDICA
670043800 05 MN
J053 01 MN UCARE GROUP
18905 01 MN PREFERRED ONE
181389 01 MN UCARE INDIVIDUAL
36655 01 MN ST PAUL ELECTRICAL WORKER
75732 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
2495 Maplewood Drive
City
State
Zip
55109-1913
Phone Number
651-770-8884
Fax Number
651-770-8151
person
Provider Business Mailing Address Details
Address
2495 Maplewood Drive
City
State
Zip
55109-1913
Phone Number
651-770-8884
Fax Number
651-770-8151
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
License No.
100591 (Minnesota)
Definition
Definition to come...
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