| Support Therapy LLC | |
|
9740 Grand Ave S Ste 201 Bloomington MN 55420-4225 | |
| (470) 979-0239 | |
| Not Available |
| Full Name | Support Therapy LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 9740 Grand Ave S Ste 201, Bloomington, Minnesota |
| Authorized Official Name and Position | Abdifatah Omar Abdi (OWNER) |
| Authorized Official Contact | 4709790239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Therapy LLC 9740 Grand Ave S Ste 201 Bloomington MN 55420-4225 Ph: (470) 979-0239 | Support Therapy LLC 9740 Grand Ave S Ste 201 Bloomington MN 55420-4225 Ph: (470) 979-0239 |
| NPI Number | 1255294062 |
|---|---|
| Provider Enumeration Date | 12/08/2025 |
| Last Update Date | 12/08/2025 |
| Certification Date | 12/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255294062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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