| Supreme Physical Therapy, Inc. | |
|
5201 Chowen Ave S, Minneapolis, MN 55410-2121 | |
| (612) 805-2741 | |
| Not Available |
| Full Name | Supreme Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5201 Chowen Ave S, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255303095 | NPI | - | NPPES |
| 349G0SU | Other | MN | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4097 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Physical Therapy, Inc. 5201 Chowen Ave S, Minneapolis, MN 55410-2121 Ph: (612) 805-2741 | Supreme Physical Therapy, Inc. 5201 Chowen Ave S, Minneapolis, MN 55410-2121 Ph: (612) 805-2741 |
Mrs. Allison Lydia Dahl, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Veterans Drive, Minneapolis, MN 55417 Phone: 612-725-2000 Fax: 612-725-2049 | |
Shane Pochant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3915 Golden Valley Rd, Minneapolis, MN 55422 Phone: 612-775-2455 | |
John Hunn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 218-393-6255 | |
Laken Frericks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 Nicollet Mall Ste 275, Minneapolis, MN 55402 Phone: 612-331-5757 Fax: 763-260-7653 | |
Kayleen Lahoud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7550 34th Ave S, Minneapolis, MN 55450 Phone: 612-727-1167 | |
Julia Elizabeth Mcnaughton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000 | |
Melissa Tooman Herron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-818-7081 |