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Specialized Spine Care, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
SPECIALIZED SPINE CARE, INC.17408734052021-02-14

The organization Specialized Spine Care, Inc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1740873405. Registration indicates Specialized Spine Care, Inc. is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)

Entity TypeOrganization
Provider OrganizationSPECIALIZED SPINE CARE, INC.
Practice Office Address3333 W DIVISION ST STE 115
SAINT CLOUD, MN US
Practice Office Telephone3202535385
Practice Office Fax3202535396
Mailing Address3333 W DIVISION ST STE 115
SAINT CLOUD, MN 563014548 US
Business Telephone3202535385
Business Fax3202535396
Authorized OfficialJENNIFER CHRISTINE HALLORAN, OWNER, CFO
3202535385
Contact Endpoints
Website [Website]Specializedspinecare.comDirect
HPT Codes
CodePractice
License No
State
225100000X PRIMARY
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Physical Therapist

Speech/Occupational/Physical Therapy/Chiropractor

Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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