Lake Area Therapy Services,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2417 Issued in MN

Legal business name

LAKE AREA THERAPY SERVICES,LLC

Practice address

88395 Sturgeon Island Rd
Sturgeon Lake, MN 55783-3895

Phone

(218) 380-8010

NPI assigned

Sep 20, 2010

Last updated

Sep 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lynn Marie Folsted, PT

Title

Owner/Member

Phone

(218) 380-8010

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1205144672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557670266",
            "telephone_number": "218-380-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88395 STURGEON ISLAND RD",
            "city": "STURGEON LAKE",
            "state": "MN",
            "postal_code": "557833895",
            "telephone_number": "218-380-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA THERAPY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "FOLSTED",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "218-380-8010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northern Medical Transportation
• Jessica Perrault
• Shelley A Shaffer, MS, LPCC

• Physical Therapist in Sturgeon Lake, MN
• Providers in Sturgeon Lake, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.