Provider Demographics
NPI:1265519565
Name:SPINAL DESIGNS INTERNATIONAL
Entity type:Organization
Organization Name:SPINAL DESIGNS INTERNATIONAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PAYER RELATIONS MGR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:COMINGDEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-378-7235
Mailing Address - Street 1:1300 GODWARD ST NE
Mailing Address - Street 2:SUITE 6250
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413
Mailing Address - Country:US
Mailing Address - Phone:800-457-9356
Mailing Address - Fax:
Practice Address - Street 1:1300 GODWARD ST NE
Practice Address - Street 2:SUITE 1500
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-1741
Practice Address - Country:US
Practice Address - Phone:612-746-4747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherTAX ID