| Vida Sana Therapy Llc | |
|
7300 147th St W Ste 302 Apple Valley MN 55124-7541 | |
| (612) 759-9529 | |
| Not Available |
| Full Name | Vida Sana Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7300 147th St W Ste 302, Apple Valley, Minnesota |
| Authorized Official Name and Position | Kristina Maria Vandyke (THERAPIST) |
| Authorized Official Contact | 6127599529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Sana Therapy Llc 7300 147th St W Ste 302 Apple Valley MN 55124-7541 Ph: (612) 759-9529 | Vida Sana Therapy Llc 7300 147th St W Ste 302 Apple Valley MN 55124-7541 Ph: (612) 759-9529 |
| NPI Number | 1164286522 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164286522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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