Provider Demographics
NPI:1083108013
Name:MINNESOTA THERAPY SOLUTIONS
Entity Type:Organization
Organization Name:MINNESOTA THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUKHTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-707-1718
Mailing Address - Street 1:120 CENTRAL AVE N
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-5211
Mailing Address - Country:US
Mailing Address - Phone:612-707-1718
Mailing Address - Fax:
Practice Address - Street 1:120 CENTRAL AVE N
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-5211
Practice Address - Country:US
Practice Address - Phone:612-707-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy