| The Therapy Center Llc | |
|
223 Shamrock Dr, Mahtomedi, MN 55115-1760 | |
| (612) 239-0707 | |
| (715) 549-9213 |
| Full Name | The Therapy Center Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 223 Shamrock Dr, Mahtomedi, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568699320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7207 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| The Therapy Center Llc 223 Shamrock Dr, Mahtomedi, MN 55115-1760 Ph: (612) 239-0707 | The Therapy Center Llc 223 Shamrock Dr, Mahtomedi, MN 55115-1760 Ph: (612) 239-0707 |
Mrs. Lisa Pietig, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 223 Shamrock Dr, Mahtomedi, MN 55115 Phone: 612-239-0707 | |
Sara Elaine Mcgrath, MS-CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 223 Shamrock Dr, Mahtomedi, MN 55115 Phone: 651-253-9462 Fax: 715-549-9213 |