Provider Demographics
NPI:1083176101
Name:TRANSCEND REHAB & WELLNESS LLC
Entity Type:Organization
Organization Name:TRANSCEND REHAB & WELLNESS LLC
Other - Org Name:TRANSCEND REHAB & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KOBIENIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MA
Authorized Official - Phone:320-318-8812
Mailing Address - Street 1:2800 1ST ST S STE 110
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-4271
Mailing Address - Country:US
Mailing Address - Phone:320-318-8812
Mailing Address - Fax:320-318-8813
Practice Address - Street 1:2800 1ST ST S STE 110
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-4271
Practice Address - Country:US
Practice Address - Phone:320-318-8812
Practice Address - Fax:320-318-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy