Provider Demographics
NPI:1386467827
Name:CREATIVE VISION THERAPY
Entity type:Organization
Organization Name:CREATIVE VISION THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOIGT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-552-8500
Mailing Address - Street 1:5101 65TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-9528
Mailing Address - Country:US
Mailing Address - Phone:320-296-2852
Mailing Address - Fax:
Practice Address - Street 1:5101 65TH ST SE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-9528
Practice Address - Country:US
Practice Address - Phone:320-296-2852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty