| Aegis Group Practice Llc | |
|
4400 Lange Ave Ne, Saint Michael, MN 55376-9556 | |
| (763) 777-9445 | |
| (479) 401-2173 |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4400 Lange Ave Ne, Saint Michael, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881311421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Group Practice Llc 2601 Network Blvd Ste 102, Frisco, TX 75034-9092 Ph: (972) 372-6779 | Aegis Group Practice Llc 4400 Lange Ave Ne, Saint Michael, MN 55376-9556 Ph: (763) 777-9445 |
Jon Frikken, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 Central Ave W Ste 102, Saint Michael, MN 55376 Phone: 763-595-1300 Fax: 763-276-1190 |
Kelly Christine Sanborn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Thielen Dr, Saint Michael, MN 55376 Phone: 763-497-1153 Fax: 763-497-5256 |
Kimberly Ann Brown, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15735 56th St Ne, Saint Michael, MN 55376 Phone: 612-743-7829 |
Jodene Lynn Nestande, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 601 Central Ave W Ste 102, Saint Michael, MN 55376 Phone: 763-595-1300 Fax: 763-276-1190 |
St Michael Spinal Rehab Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Central Ave E Ste 70, Saint Michael, MN 55376 Phone: 763-497-2787 |
Jacob E Todd, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 Central Ave W Ste 102, Saint Michael, MN 55376 Phone: 763-595-1300 Fax: 763-276-1190 |
Elise Clara Durre, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 415 3rd St Nw, Saint Michael, MN 55376 Phone: 612-963-3144 |