Organization

Lake Region Therapy Services Inc

Rehabilitation Clinic/Center in Detroit Lakes, MN(View on Map)

Legal Business Name

Lake Region Therapy Services Inc

NPI Number

1154583292

NPI Type

Organization

Enumeration Date

06/30/2008

Specialties

(Taxonomies)

Code

261QR0400X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

9552335

Contact
Information

Purpose

Mailing
Location

Address

803 ROOSEVELT AVE
803 ROOSEVELT AVE

City

Detroit Lakes
Detroit Lakes

State

MN
MN

Postal Code

56501-3744
56501-3744

Country

US
US

Telephone Number

(218) 844-5555
(218) 844-5555

Authorized Official

Name

Mrs. Jennifer Manning

Title or Position

OWNER PRESIDENT

Telephone Number

(218) 844-5555

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/30/2008

Provider Address