Provider Demographics
NPI:1992986194
Name:BODY WHISPERS THERAPY LLC
Entity type:Organization
Organization Name:BODY WHISPERS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROTH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:612-730-8272
Mailing Address - Street 1:1768 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-4939
Mailing Address - Country:US
Mailing Address - Phone:612-730-8272
Mailing Address - Fax:
Practice Address - Street 1:3220 RICE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55126-3047
Practice Address - Country:US
Practice Address - Phone:612-730-8272
Practice Address - Fax:866-409-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100848261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC03854Medicare PIN