| The Therapy Shop Of Lakeville | |
|
760 Southcross Dr W 103 Burnsville MN 55306-7916 | |
| (952) 808-1400 | |
| (952) 808-1400 |
| Full Name | The Therapy Shop Of Lakeville |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 760 Southcross Dr W, Burnsville, Minnesota |
| Authorized Official Name and Position | Kristin Jean Aydt (PRESIDENT) |
| Authorized Official Contact | 9528081400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Therapy Shop Of Lakeville 760 Southcross Dr W Suite 103 Burnsville MN 55306-7916 Ph: (950) 808-1400 | The Therapy Shop Of Lakeville 760 Southcross Dr W 103 Burnsville MN 55306-7916 Ph: (952) 808-1400 |
| NPI Number | 1982984845 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982984845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1228 (Minnesota) | Primary |
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