Provider Demographics
NPI:1801627161
Name:HEALTH SHIFT PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:HEALTH SHIFT PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:218-393-6006
Mailing Address - Street 1:PO BOX 286
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:IL
Mailing Address - Zip Code:60034-0286
Mailing Address - Country:US
Mailing Address - Phone:612-750-8315
Mailing Address - Fax:
Practice Address - Street 1:NORTH MAPLE GROVE CHIROPRACTIC AND PHYSICAL THERAPY
Practice Address - Street 2:9505 BLACKOAKS LN N
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311
Practice Address - Country:US
Practice Address - Phone:763-420-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty