Maverick Physiotherapy Llc

LBN: Maverick Physiotherapy Llc
Maverick Physiotherapy Llc is an health care organization with primary practice located at 155 Eaton St , Saint Paul MN 55107-1602. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Maverick Physiotherapy Llc can be contacted via phone (612) 642-1847, or through Richlen, Mason via phone (715) 271-0303.

Contact Information

Primary practice address
155 Eaton St Saint Paul MN 55107-1602
Phone: (612) 642-1847
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richlen, Mason DPT, PT
Phone: (715) 271-0303

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1073185393
LBN Legal business name Maverick Physiotherapy Llc
DBA Doing business as
Authorized official Richlen, Mason DPT, PT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2021
Last updated Sep 10th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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