NPI 1629595947

Viverant, LLC

Organisation Physical Therapist Edina, MN

Practice location

Address: 5400 France Ave S, Edina, MN 55410-2356
Phone: (952) 835-4512
Mailing address: 1769 Lexington Ave N # 286, Roseville, MN 55113-6522

Authorised official

Name: Michael Lanham
Title: Director
Phone: (952) 835-4512

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Other Physical Therapist providers in Minnesota →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

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Registry record

NPI: 1629595947
Entity type: Organization
NPI issued: 28 Aug 2017
Record last updated: 1 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.