Lydia Macrina Young, PT, DPT | |
921 Central Ave E Ste 200, Saint Michael, MN 55376-9618 | |
(763) 497-1153 | |
Not Available |
Full Name | Lydia Macrina Young |
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Gender | Female |
Speciality | Physical Therapist |
Location | 921 Central Ave E Ste 200, Saint Michael, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962090332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12090 (Minnesota) | Primary |
Provider Name | Stellar Health Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174556682 PECOS PAC ID: 3971599861 Enrollment ID: O20040424000343 |
Provider Name | Novacare Outpatient Rehabilitation East Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558610519 PECOS PAC ID: 3678480290 Enrollment ID: O20121228000194 |
Mailing Address | Practice Location Address |
---|---|
Lydia Macrina Young, PT, DPT 3420 Aquila Ave S, St Louis Park, MN 55426-3834 Ph: () - | Lydia Macrina Young, PT, DPT 921 Central Ave E Ste 200, Saint Michael, MN 55376-9618 Ph: (763) 497-1153 |
Jon Frikken, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 Central Ave W Ste 102, Saint Michael, MN 55376 Phone: 763-595-1300 Fax: 763-276-1190 | |
Kelly Christine Sanborn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Thielen Dr, Saint Michael, MN 55376 Phone: 763-497-1153 Fax: 763-497-5256 | |
Kimberly Ann Brown, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15735 56th St Ne, Saint Michael, MN 55376 Phone: 612-743-7829 | |
Jodene Lynn Nestande, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 Central Ave W Ste 102, Saint Michael, MN 55376 Phone: 763-595-1300 Fax: 763-276-1190 | |
St Michael Spinal Rehab Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Central Ave E Ste 70, Saint Michael, MN 55376 Phone: 763-497-2787 | |
Dr. Michael W Simon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 Central Ave W Ste 102, Saint Michael, MN 55376 Phone: 763-595-1300 Fax: 763-276-1190 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 Lange Ave Ne, Saint Michael, MN 55376 Phone: 763-777-9445 Fax: 479-401-2173 |