| Thelen Therapy Services Llc | |
|
261 E Broadway Tollefson Suite Monticello MN 55362 | |
| (763) 370-0243 | |
| Not Available |
| Full Name | Thelen Therapy Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 261 E Broadway, Monticello, Minnesota |
| Authorized Official Name and Position | Mark Rodney Thelen (LP LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7633700243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thelen Therapy Services Llc Po Box 102 Monticello MN 55362-0102 Ph: (763) 370-0243 | Thelen Therapy Services Llc 261 E Broadway Tollefson Suite Monticello MN 55362 Ph: (763) 370-0243 |
| NPI Number | 1649937996 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649937996 | NPI | - | NPPES |
| 1000693475 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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