| Realief Neuropathy Center Of St. Louis Park Pa | |
|
1660 Highway 100 S, Suite 145, St Louis Park, MN 55416-1529 | |
| (952) 456-6160 | |
| Not Available |
| Full Name | Realief Neuropathy Center Of St. Louis Park Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1660 Highway 100 S, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578813911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9167 (Minnesota) | Primary |
| Provider Name | Timothy K Kelm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619057007 PECOS PAC ID: 3779547153 Enrollment ID: I20041116000287 |
| Provider Name | Stacy A Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237479 PECOS PAC ID: 3971860669 Enrollment ID: I20171205003356 |
| Mailing Address | Practice Location Address |
|---|---|
| Realief Neuropathy Center Of St. Louis Park Pa 1660 Highway 100 S, Suite 145, St Louis Park, MN 55416-1529 Ph: (952) 456-6160 | Realief Neuropathy Center Of St. Louis Park Pa 1660 Highway 100 S, Suite 145, St Louis Park, MN 55416-1529 Ph: (952) 456-6160 |
Mary Katherine Kosanda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6014 | |
Sarah Sween Ramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300 | |
Jennifer A Deutz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900 | |
Nicole Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3912 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-835-4512 Fax: 888-425-0398 | |
Angela Marie Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900 | |
Afton Rose Wise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Kathy Ann Kurdelmeier, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5486 |