Provider Demographics
NPI:1598567919
Name:GROW PELVIC HEALTH LLC
Entity type:Organization
Organization Name:GROW PELVIC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUILMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, MOT, OTR/L
Authorized Official - Phone:952-856-0844
Mailing Address - Street 1:168 PIONEER TRL STE 235
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1167
Mailing Address - Country:US
Mailing Address - Phone:952-856-0844
Mailing Address - Fax:833-871-8066
Practice Address - Street 1:6350 HARVEST TRAIL
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318
Practice Address - Country:US
Practice Address - Phone:952-856-0844
Practice Address - Fax:833-871-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty