Lifespan Health Consultants

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4926 Issued in MN

Legal business name

LIFESPAN HEALTH CONSULTANTS

Practice address

13299 Hudson Rd S
Afton, MN 55001-9303

Phone

(651) 263-3282

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By 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. Kerry L. Weiss, P.T.

Title

Owner

Phone

(651) 263-3282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1225438336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13299 HUDSON RD",
            "city": "AFTON",
            "state": "MN",
            "postal_code": "55001",
            "telephone_number": "651-263-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13299 HUDSON RD S",
            "city": "AFTON",
            "state": "MN",
            "postal_code": "550019303",
            "telephone_number": "651-263-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HEALTH CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-263-3282",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "4926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Afton, MN
• Providers in Afton, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.